Provider Demographics
NPI:1447470133
Name:ANDREWS, NANCY (PT)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8872 BELLSHIRE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646
Mailing Address - Country:US
Mailing Address - Phone:714-921-9080
Mailing Address - Fax:714-921-9336
Practice Address - Street 1:1607 E LINCOLN AVE STE B
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92865-1958
Practice Address - Country:US
Practice Address - Phone:714-921-9080
Practice Address - Fax:714-921-9336
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT16979225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW16655Medicare ID - Type UnspecifiedPRACTICE MC #
CAWPT16979CMedicare ID - Type UnspecifiedIND MC #