ANDREW TISHIM NPI 1477143329

NPI Information

NPI: 1477143329
Provider Name: ANDREW TISHIM
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
UNIT 5115
APO, AE
ZIP 09461
Phone: (307) 757-8669
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Andrew Tishim is a medical physician assistant in Apo, AE. Andrew Tishim NPI is 1477143329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

UNIT 5115
APO, AE
ZIP 09461-115
Phone: (307) 757-8669

The enumeration date for this NPI number is 1/25/2021 and was last updated on 6/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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