Provider Demographics
NPI:1770386575
Name:ANDIE LUNDQUIST FNP-BC LLC
Entity type:Organization
Organization Name:ANDIE LUNDQUIST FNP-BC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNDQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:901-651-7955
Mailing Address - Street 1:1036 STEARMAN DR
Mailing Address - Street 2:
Mailing Address - City:WHITE HOUSE
Mailing Address - State:TN
Mailing Address - Zip Code:37188-5243
Mailing Address - Country:US
Mailing Address - Phone:615-206-2027
Mailing Address - Fax:615-206-2187
Practice Address - Street 1:1036 STEARMAN DR
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188-5243
Practice Address - Country:US
Practice Address - Phone:615-206-2027
Practice Address - Fax:615-206-2187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care