NPI 1265921399 · live from the CMS NPI Registry
Andrea Lynne Andersen
Physician Assistant in Waterbury, CT. National Provider Identifier 1265921399, active.
NPI record
| NPI | 1265921399 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 64 Robbins St, Waterbury, CT 06708 |
| Practice phone | 203-573-6000 |
| Enumerated | May 3, 2018 |
| Last updated | November 4, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 4256 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.