| Ms Andrea Yuriko Andersen, RDN | |
|
15211 W Port Royale Ln, Surprise, AZ 85379-7011 | |
| (623) 341-8546 | |
| Not Available |
| Full Name | Ms Andrea Yuriko Andersen |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 15211 W Port Royale Ln, Surprise, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801384474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86056677 (Arizona) | Primary |
| Provider Name | Mountain Park Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558308825 PECOS PAC ID: 8325949647 Enrollment ID: O20040119000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Andrea Yuriko Andersen, RDN 15211 W Port Royale Ln, Surprise, AZ 85379-7011 Ph: (623) 341-8546 | Ms Andrea Yuriko Andersen, RDN 15211 W Port Royale Ln, Surprise, AZ 85379-7011 Ph: (623) 341-8546 |
Matthew Mai, Dietitian Medicare: Medicare Enrolled Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 877-809-5092 | |
Tiffany Marie Tutt, RD Dietitian Medicare: Medicare Enrolled Practice Location: 14719 W Grand Ave, Surprise, AZ 85374 Phone: 623-471-9355 Fax: 623-213-8523 | |
Briana Garcia, RD Dietitian Medicare: Medicare Enrolled Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 480-964-2273 Fax: 623-214-5214 | |
Nikki Kirby, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12650 N 150th Ln, Surprise, AZ 85379 Phone: 480-202-8862 | |
Jane Mcewan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15758 W Laurel Ln, Surprise, AZ 85379 Phone: 360-713-1699 | |
Sun Health Services Dietitian Medicare: Medicare Enrolled Practice Location: 14719 W Grand Ave, Surprise, AZ 85374 Phone: 623-471-9355 Fax: 623-213-8523 | |
Nutritional Glo Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16045 W Becker Ln, Surprise, AZ 85379 Phone: 623-512-0067 |