Individual provider · NPI-1

Prentiss Andrews

Student in an Organized Health Care Education/Training Program · Santa Fe, NM

NPI number1053254383
StatusActive
Last updated in NPPESApr 11, 2026

Details

NPI
1053254383
Entity type
Individual (NPI-1)
Name
Prentiss Andrews
Sex
Male
Sole proprietor
No
Enumeration date
Apr 11, 2026
Certification date
Apr 11, 2026
Last updated
Apr 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

7285 Vista Serena Loop
Santa Fe, NM 87507-3150

Phone 206-384-2076

Mailing address

7285 Vista Serena Loop
Santa Fe, NM 87507-3150

Phone 206-384-2076

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