Andrea Duffy, LVN
Individual provider Active NPI Licensed Vocational Nurse · Copperas Cove, TX
NPI 1669064697 · NPPES record last updated Feb 10, 2021
Key facts
- NPI
- 1669064697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 301632 (TX)
- Practice address
- 458 Town SQ
Copperas Cove, TX 76522-2826 - Phone
- (254) 553-5801
- NPI assigned
- Feb 10, 2021
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301632 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 301632 | TX | Yes |
Addresses
Primary practice location
458 Town SQ
Copperas Cove, TX 76522-2826
Mailing address
458 Town SQ
Copperas Cove, TX 76522-2826
Phone (254) 553-5801
Other providers in Copperas Cove, TX
- Skyler Autumn Diets
- Oneisha Camille Dobson
- Allison Leigh Donnelly
- Dr. Micah Craig PLLC
- Alissha Duenas
- Kizzie Denise Edie
- Jay Todd Elder
- Elderpsych Care PLLC
- Elevate Family Medicine
- Fermina Amarilis Espaillat
All providers in Copperas Cove, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2021. 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.