Individual provider · NPI-1

Bridget Cornell Andrew, PA,MPH

Physician Assistant, Medical · Santa Fe, NM

NPI number1649279266
StatusActive
Last updated in NPPESJun 17, 2013

Details

NPI
1649279266
Entity type
Individual (NPI-1)
Name
Ms. Bridget Cornell Andrew
Credential
PA,MPH
Sex
Female
Sole proprietor
No
Enumeration date
Jul 15, 2005
Last updated
Jun 17, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA2009-043NMYes
363AM0700X Physician Assistant, Medical2822CO
363AM0700X Physician Assistant, Medical566MT
363AM0700X Physician Assistant, Medical005692-1NY

Practice location

1035 Alto St
La Familia Medical Center
Santa Fe, NM 87501-2406

Phone 505-982-4425 · Fax 505-982-6280

Mailing address

1035 Alto St
La Familia Medical Center
Santa Fe, NM 87501-2406

Phone 505-982-4425 · Fax 505-982-6280

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