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ANDRE CONWAY IDC STUDENT
NPI 1356932016
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since January 26, 2021
34101 FARENHOLT AVE, SAN DIEGO, CA 92134(619) 532-9712 Get Directions Write a Review

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

About Andre Conway Idc Student NPPES

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

ANDRE CONWAY IDC STUDENT (NPI 1356932016) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1356932016
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDRE CONWAYCredential: IDC STUDENT
Location Address34101 FARENHOLT AVESan Diego, CA 92134-7000
Mailing AddressBuilding 14, 34101 Farenholt AveSan Diego, CA 92134 · (619) 532-9712
Phone(619) 532-9712
Sole ProprietorYes
Enumeration DateJanuary 26, 2021
NPPES CertifiedJanuary 26, 2021
✔ NPI 1356932016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
34101 FARENHOLT AVE, San Diego, CA 92134
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Other Providers at the Same Location NPPES 20

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

CHRISTOPHER A WALLACE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7801
MR. GABRIEL A MICHAELS IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (216) 701-4316
MR. GABRIEL JOSE SAN PEDRO IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
ALEXANDER BOX
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (843) 605-3091
CHANTE ALLI MOORE
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (215) 681-7866
MR. STEVEN R CURRIER JR. SURFACE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
MARCO OLIVAREZ
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
MR. ANDREW BUD TAYLOR IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE, BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-6233

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 Andre Conway's NPI number?

The NPI number for Andre Conway is 1356932016. It was assigned to this individual provider in the NPPES registry on January 26, 2021.

Where is Andre Conway located?

Andre Conway practices at 34101 Farenholt Ave, San Diego, CA 92134. The listed phone number is (619) 532-9712.

What is Andre Conway'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 Andre Conway was last updated on January 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.