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Andrea Earlywine, APN
Psychiatric/Mental Health Nurse Practitioner in Columbia, Missouri
NPI 1679778617

Andrea Earlywine is a Psychiatric/Mental Health Nurse Practitioner based in Columbia, MO and is specialized in Psychiatric/Mental Health. Andrea Earlywine practices in Columbia, MO and has the professional credentials of APN. The NPI Number for Andrea Earlywine is 1679778617 and holds a License No. 2001024627 (Missouri).

The current practice location address for Andrea Earlywine is 2100 Forum Blvd Ste C-2, Columbia, MO and can be reached out via phone at 573-447-7456 and via fax at 573-447-7457. You can also correspond with Andrea Earlywine through the mailing address at 1324 WEAVER DR, COLUMBIA, MO - 65203-0888 (mailing address contact number: 573-228-0466).

Location: 2100 Forum Blvd Ste C-2, Columbia, MO, 65203-0888
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Provider Profile Details
NPI Number
1679778617
Provider Name
Andrea Earlywine
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
2100 Forum Blvd Ste C-2, Columbia, MO, 65203-0888
Phone Number
573-447-7456
Fax Number
573-447-7457
Provider Enumeration Date
06/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1679778617 05 MO
institution
Provider Business Practice Location Address Details
Address
2100 Forum Blvd Ste C-2
City
State
Zip
65203-5436
Phone Number
573-447-7456
Fax Number
573-447-7457
person
Provider Business Mailing Address Details
Address
1324 Weaver Dr
City
State
Zip
65203-0888
Phone Number
573-228-0466
Fax Number
573-447-7457
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2001024627 (Missouri)
Definition
Definition to come...
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