Andrea Simone Gardner
Individual provider Active NPI Adult Companion · Montgomery Village, MD
NPI 1104100486 · NPPES record last updated Oct 4, 2011
Key facts
- NPI
- 1104100486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 18447 Lost Knife Cir Apt 304
Montgomery Village, MD 20886-0408 - Phone
- (240) 449-6935
- NPI assigned
- Oct 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | MD | Yes | |
| Home Health Aide | 374U00000X | MD | ||
| Nurse's Aide | 376K00000X | MD |
Addresses
Primary practice location
18447 Lost Knife Cir Apt 304
Montgomery Village, MD 20886-0408
Mailing address
18447 Lost Knife Cir Apt 304
Montgomery Village, MD 20886-0408
Phone (240) 449-6935
Other providers in Montgomery Village, MD
- Edward Joseph Feroli
- Liliane Fobasso
- Princess K Frazier-Lyles
- G. Ghamary DDS #1 PC
- Grace Emilya Garcia
- Allyson Garrett
- Ghafoor Ghamary
- Sahar Rose Ghamary
- Shelby Grace Gillen
- Anita Gonzalez
All providers in Montgomery Village, MD · Adult Companion in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.