Andrea Clegg is a Nurse Practitioner in Dearborn, Michigan. Andrea Clegg practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Andrea Clegg is 1285612861. The last update date is 2021-01-05.
Andrea Clegg's current location address is 22060 Beech St Ste 200, Dearborn, Michigan. You can contact this provider via phone number 3132280505 and fax number 3132280506. The mailing address for Andrea Clegg is 22060 Beech St Ste 200, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Clegg |
|---|---|
| Address | 22060 Beech St Ste 200, Dearborn, Michigan |
| Phone Number | 3132280505 |
| Fax Number | 3132280506 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1285612861 |
|---|---|
| Provider Enumeration Date | 2006-01-04 |
| Last Updated Date | 2021-01-05 |
Provider Mailing Address Detail
| Address | 22060 Beech St Ste 200 |
|---|---|
| City | Dearborn |
| State | Michigan (MI) |
| Post Code | 481242853 |
| Phone Number | 3132280505 |
| Fax Number | 3132280506 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704218011 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00380696 | RAILROAD MEDICARE | ||
| 10-4773390 | MI | -- | |
| 11-4941056 | MI | -- | |
| 10-4773362 | MI | -- | |
| 10-4773371 | MI | -- | |
| 11-4941047 | MI | -- | |
| 5008604240 | MI | BCBS | |
| 11-4941038 | MI | -- | |
| 11-4941065 | MI | -- | |
| 10-4773406 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Andrea Clegg by the Centers for Medicare & Medicaid Services?
The Andrea Clegg has been assigned the NPI (National Provider Identifier) 1285612861 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Andrea Clegg is physically located?
The Andrea Clegg is physically situated at the following address: 22060 Beech St Ste 200, Dearborn, MI, 481242853.
What is Andrea Clegg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Andrea Clegg's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Andrea Clegg receive the assignment of its 1285612861 from the Centers for Medicare & Medicaid Services?
The Andrea Clegg was issued its 1285612861 by the Centers for Medicare & Medicaid Services on 2006-01-04.
As of what date were the details pertaining to Andrea Clegg last refreshed?
The information related to the Andrea Clegg, including its address, specialty, and other relevant details, was last updated on 2021-01-05.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY