Active NPIIndividual provider

Andrea L Andersen

Physician Assistant in Waterbury, Connecticut

NPI Number1265921399
Practice location
64 Robbins St, Waterbury, CT 06708-2613
Fax
—
Last updated
November 4, 2025

Andrea Lynne Andersen is a Physician Assistant based in Waterbury, CT. Andrea Lynne Andersen practices in Waterbury, CT. The NPI Number for Andrea Lynne Andersen is 1265921399 and holds a License No. 4256 (CT). The current practice location address for Andrea Lynne Andersen is 64 Robbins St, Waterbury, CT 06708-2613 and can be reached out via phone at 203-573-6000.

Provider Profile Details

NPI Number
1265921399
Provider Name
Andrea Lynne Andersen
Provider Entity Type
Individual
Gender
Female
Address
64 Robbins St, Waterbury, CT 06708-2613
Phone Number
203-573-6000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 3, 2018
Last Update Date
November 4, 2025
Certification Date
November 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
64 Robbins St
Waterbury, CT 06708-2613
Zip
06708-2613
Phone Number
203-573-6000
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
64 Robbins St
Waterbury, CT 06708-2613
City
Waterbury
State
CT
Zip
06708-2613
Phone Number
203-815-7206

License Information

License Number
4256
License State
CT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrea L Andersen?

The NPI number of Andrea L Andersen is 1265921399. It was assigned on May 3, 2018 and is currently active in the NPPES registry.

What is the specialty of Andrea L Andersen?

Andrea L Andersen is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 4256.

Where does Andrea L Andersen practice?

The practice location is 64 Robbins St, Waterbury, CT 06708-2613. The office can be reached at 203-573-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265921399 directly on the NPPES registry website.

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