Individual provider · Type 1 NPI
Andrea Martin Windom, MSN PNP IBCLC
Pediatric Nurse Practitioner · Vallejo, CA
NPI number
1700951126
Active
Practice location
975 Sereno Dr
Vallejo, CA 94589-2441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 362012 (CA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 362012 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1700951126
Andrea Martin Windom, MSN PNP IBCLC's National Provider Identifier is 1700951126, issued on Nov 21, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Vallejo, CA. The record was last updated on Jan 3, 2022.