Provider Demographics
NPI:1891668109
Name:ANDRADE, THAINARA DE SA
Entity type:Individual
Prefix:
First Name:THAINARA
Middle Name:DE SA
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1057 FOSTER CITY BLVD APT D
Mailing Address - Street 2:
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-2305
Mailing Address - Country:US
Mailing Address - Phone:510-334-0249
Mailing Address - Fax:
Practice Address - Street 1:1057 FOSTER CITY BLVD APT D
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-2305
Practice Address - Country:US
Practice Address - Phone:510-334-0249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula