ANDREA S BREEDLOVE FNP NPI 1982687471

NPI Information

NPI: 1982687471
Provider Name: ANDREA S BREEDLOVE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1 SAINT VINCENT CIR STE 350
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 353-2328
Get Directions

Andrea S Breedlove, FNP is a family nurse practitioner in Little Rock, AR. Andrea S Breedlove, FNP NPI is 1982687471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 SAINT VINCENT CIR STE 350
LITTLE ROCK, AR
ZIP 72205-408
Phone: (501) 353-2328
Fax: (267) 295-6086

The enumeration date for this NPI number is 11/29/2005 and was last updated on 8/15/2014.

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	363LF0000X	Nurse Practitioner	Family	A001719	ARKANSAS	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	A001719	ARKANSAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5A962	OTHER	ARKANSAS	ARKANSAS BLUE CROSS BLUE SHIELD
2	Q50630	MEDICARE UPIN	TEXAS
3	5A923	MEDICARE PIN	ARKANSAS

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: 11/14/2023

NPI Synchronization or Removal

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