Individual provider · Type 1 NPI

Andrea Isham, BSN, RN

Registered Nurse · Pontiac, MI

NPI number 1679417646 Active

Practice location

461 W Huron St # 107
Pontiac, MI 48341-1601

Call (248) 724-7600 Map

Mailing address

3530 Fountain Cir
Auburn Hills, MI 48326-3898

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	4704414887 (MI)

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 1679417646

Andrea Isham, BSN, RN's National Provider Identifier is 1679417646, issued on Apr 17, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Pontiac, MI. The record was last updated on Apr 17, 2026.