Individual provider · NPI-1
Sheila Diane Andrea, RT(R)(M)
Radiologic Technologist, Mammography · Flagstaff, AZ
NPI number1851607675
StatusActive
Last updated in NPPESAug 31, 2010
Details
- NPI
- 1851607675
- Entity type
- Individual (NPI-1)
- Name
- Ms. Sheila Diane Andrea
- Credential
- RT(R)(M)
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2010
- Last updated
- Aug 31, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471M2300X | Radiologic Technologist, Mammography | CMT-2739 | AZ | Yes |
| 247100000X | Radiologic Technologist | CRT-13822 | AZ |
Practice location
11405 N Crestview St.Flagstaff, AZ 86004-5215
Phone 928-637-8724
Mailing address
11405 N Crestview StFlagstaff, AZ 86004-5215
Phone 928-637-8724
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