Andrea Life Investment Enterprises

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

77715794405 Issued in UT

Legal business name

ANDREA LIFE INVESTMENT ENTERPRISES

Practice address

4400 S 700 E Ste 201
Millcreek, UT 84107-3053

Phone

(801) 895-8903

Fax

(888) 312-5374

NPI assigned

Dec 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea Loving, APRN, FNP-C

Title

Nurse Practitioner

Phone

(801) 792-0218

Specialties & licenses 1

Addresses

Other names 1

• ALIE Medical Practice Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1033653233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S 700 E STE 201",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841073053",
            "telephone_number": "801-895-8903",
            "fax_number": "888-312-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S 700 E STE 201",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841073053",
            "telephone_number": "801-895-8903",
            "fax_number": "888-312-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA LIFE INVESTMENT ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "LOVING",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "801-792-0218",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "UT",
            "license": "77715794405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALIE Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALIE Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Millcreek, UT
• Family Health Clinical Nurse Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.