Andrea D Crew, PA
Individual provider Active NPI Medical Physician Assistant · Primghar, IA
NPI 1265498372 · NPPES record last updated Oct 16, 2007
Key facts
- NPI
- 1265498372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 000953 (IA)
- Practice address
- 240 North Rerick Ave
Primghar, IA 51245 - Phone
- (712) 957-2310
- Fax
- (712) 957-0504
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 953 | IA | MD | Hearing Instrument Specialist |
| 000956 | IA | MD | Physician Assistant |
| 000953 | IA | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000953 | IA | Yes |
Addresses
Primary practice location
240 North Rerick Ave
Primghar, IA 51245
Mailing address
PO Box 324
Sioux City, IA 51102-0324
Phone (712) 279-5830
Other providers in Primghar, IA
- Baum Harmon Mercy Hospital
- Baum Harmon Mercy Hospital
- Baum Harmon Mercy Hospital
- Julie M Beehler
- County of Obrien
- Shailesh Dhirubhai Desai
- Heather Jo Einck
- Embrace Therapy Services LLC
- Family First Dental Associates of Primghar, P.C.
- Family First Dental of Primghar PC
All providers in Primghar, IA · Medical Physician Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2007. 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.