Provider Demographics
NPI:1528722949
Name:PARKIN, ANDREA A (LPN, IP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:A
Last Name:PARKIN
Suffix:
Gender:F
Credentials:LPN, IP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 ANN ST
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-2005
Mailing Address - Country:US
Mailing Address - Phone:412-828-7300
Mailing Address - Fax:412-828-0471
Practice Address - Street 1:26 ANN ST
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-2005
Practice Address - Country:US
Practice Address - Phone:412-828-7300
Practice Address - Fax:412-828-0471
Is Sole Proprietor?:No
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN296327164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse