| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRIAN ANDREW | 1891276630 | 2024-04-05 |
Brian Andrew is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891276630. Registration indicates Brian Andrew is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Brian Andrew PA-C |
| Practice Office Address | 1401 25TH ST S GREAT FALLS, MT US |
| Practice Office Telephone | 4067318888 |
| Practice Office Fax | 4067318318 |
| Mailing Address | 10436 BURKEHAVEN AVE LAS VEGAS, NV 891666506 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 101 Civic Center Ln | Lake Havasu City, AZ 864035607 | 9284530150 / 9284530653 |
| Direct Messaging Address [] | [email protected] | Benefis Hospitals Inc |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 7819
AZ |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 100201
MT |