Andria Jean Head, PAC

NPI #1326040973 in Hastings, Nebraska

Provider Information

NPI Number: 1326040973
Entity Type: Individual
Name: Andria Jean Head, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: PAC
Enumeration Date: Aug 12, 2005
Last Updated: Jul 24, 2007

Practice Location

Address: 2115 N KANSAS AVE
Address 2: CHILDREN & ADOLESCENT CLINIC PC
City: Hastings
State: Nebraska
ZIP Code: 68901
Phone: (402) 463-6828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Physician Assistant	363A00000X

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