Provider Demographics
NPI:1871345496
Name:ARGO, ANDIE CAITLIN
Entity type:Individual
Prefix:
First Name:ANDIE
Middle Name:CAITLIN
Last Name:ARGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANDIE
Other - Middle Name:CAITLIN
Other - Last Name:ARGO- BANGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6839 LOU GEORGE LOOP
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-6962
Mailing Address - Country:US
Mailing Address - Phone:706-332-9613
Mailing Address - Fax:
Practice Address - Street 1:1201 11TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-3423
Practice Address - Country:US
Practice Address - Phone:706-332-9613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN243210163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse