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ANDREA A DOCTOR
NPI 1124901558
Registered Nurse in Waldorf, MD

Active since July 31, 2025
10595 SOURWOOD AVE, WALDORF, MD 20603(301) 645-8765(301) 645-7611 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea A Doctor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA A DOCTOR (NPI 1124901558) is an individual registered nurse in Waldorf, Maryland, licensed in Maryland (R174524) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1124901558
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameANDREA A DOCTOR
Location Address10595 SOURWOOD AVEWaldorf, MD 20603-5730
Mailing Address10595 Sourwood AveWaldorf, MD 20603-5730 · (301) 645-8765 · Fax (301) 645-7611
Phone(301) 645-8765
Fax(301) 645-7611
Sole ProprietorNo
Enumeration DateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1124901558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in MD · R174524
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
10595 SOURWOOD AVE, Waldorf, MD 20603
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FABULOUS WEAVE , LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
10595 SOURWOOD AVE
WALDORF, MD 20603
Charles County (301) 645-8765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Doctor's NPI number?

The NPI number for Andrea Doctor is 1124901558. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Where is Andrea Doctor located?

Andrea Doctor practices at 10595 Sourwood Ave, Waldorf, MD 20603. The listed phone number is (301) 645-8765.

What is Andrea Doctor's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Andrea Doctor was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.