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ANDREA WILLEY MD NPI 1952317455

NPI Profile

NPI: 1952317455

Provider Name: ANDREA WILLEY, MD

Classification: Dermatology - 207NS0135X

Entity Type: Individual

Specialization: Procedural Dermatology

Organization: ANDREA WILLEY MD A PROFESSIONAL MEDICAL CORPORATION

PECOS Registration: Yes

Address:
2277 FAIR OAKS BLVD
SUITE 402
SACRAMENTO, CA
ZIP 95825

Phone: (916) 922-7546

Andrea Willey, MD is a procedural dermatologist in Sacramento, CA with 15 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). Andrea Willey, MD NPI is 1952317455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

2277 FAIR OAKS BLVD
SUITE 402
SACRAMENTO, CA
ZIP 95825-533
Phone: (916) 922-7546

The NPI 1952317455 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 11/1/2013.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207NS0135X Dermatology Procedural Dermatology A75733 CALIFORNIA No
2 207N00000X Dermatology MD26877 OREGON Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2015