ANDREA CHANG
NPI 1174190607
Student in an Organized Health Care Education/Training Program in Federalsburg, MD

Active since June 03, 2021
215 BLOOMINGDALE AVE, FEDERALSBURG, MD 21632(410) 754-9021 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Chang NPPES

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

ANDREA CHANG (NPI 1174190607) is an individual student in an organized health care education/training program in Federalsburg, Maryland and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1174190607
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANDREA CHANG
Location Address215 BLOOMINGDALE AVEFederalsburg, MD 21632-1012
Mailing Address903 Se Brick Ave Apt 105Bentonville, AR 72712-2699 · (323) 615-7059
Sole ProprietorYes
Enumeration DateJune 3, 2021
NPPES CertifiedJune 3, 2021
NPI 1174190607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

215 BLOOMINGDALE AVE, Federalsburg, MD 21632

Other Providers at the Same Location NPPES 19

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

Clinic/Center (Federally Qualified Health Center (FQHC))
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Nurse Practitioner (Primary Care)
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Nurse Practitioner
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Dentist
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Clinic/Center (Federally Qualified Health Center (FQHC))
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Family Medicine
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Counselor (Mental Health)
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632
Physician Assistant
215 BLOOMINGDALE AVE
FEDERALSBURG, MD 21632

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 Chang's NPI number?

The NPI number for Andrea Chang is 1174190607. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Andrea Chang located?

Andrea Chang practices at 215 Bloomingdale Ave, Federalsburg, MD 21632. The listed phone number is (410) 754-9021.

What is Andrea Chang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andrea Chang was last updated on June 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.