MS. BRIDGET CORNELL ANDREW PAMPH NPI 1649279266

NPI Information

NPI: 1649279266
Provider Name: MS. BRIDGET CORNELL ANDREW, PA,MPH
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1035 ALTO ST
LA FAMILIA MEDICAL CENTER
SANTA FE, NM
ZIP 87501
Phone: (505) 982-4425
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MS. Bridget Cornell Andrew, PA,MPH is a medical physician assistant in Santa Fe, NM. MS. Bridget Cornell Andrew, PA,MPH NPI is 1649279266. 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:

1035 ALTO ST
LA FAMILIA MEDICAL CENTER
SANTA FE, NM
ZIP 87501-406
Phone: (505) 982-4425
Fax: (505) 982-6280

The NPI 1649279266 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 6/17/2013.

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	363AM0700X	Physician Assistant	Medical	2822	COLORADO	No
2	363AM0700X	Physician Assistant	Medical	566	MONTANA	No
3	363AM0700X	Physician Assistant	Medical	005692-1	NEW YORK	No
4	363AM0700X	Physician Assistant	Medical	PA2009-043	NEW MEXICO	Yes

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
1	8HZ52A	MEDICARE ID-TYPE UNSPECIFIED
2	NMAAA1112	MEDICARE PIN	NEW MEXICO
3	P36181	MEDICARE UPIN
4	Z4167	MEDICAID	NEW MEXICO

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: 4/28/2024

NPI Synchronization or Removal

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