Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Lee Andrews, STUDENT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235059015

Ethan Lee Andrews, STUDENT is a Student in an Organized Health Care Education/Training Program in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

19555 N 59th Ave
Glendale, AZ 85308-6813
Phone: (765) 278-0502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (AZ)

Record details

NPI number1235059015
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorNo
NPI enumeratedJuly 20, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 19, 2026

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