Individual provider · Type 1 NPI

Andrea A. Doctor

Registered Nurse · Waldorf, MD

NPI number 1124901558 Active

Practice location

10595 Sourwood Ave
Waldorf, MD 20603-5730

Call (301) 645-8765 Map

Fax (301) 645-7611

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XR174524 (MD)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1124901558

Andrea A. Doctor's National Provider Identifier is 1124901558, issued on Jul 31, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Waldorf, MD. The record was last updated on Jul 31, 2025.