Provider Demographics
NPI:1679372015
Name:ARLINE, ANDREA LAUREN (MS)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:LAUREN
Last Name:ARLINE
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 WAKEFIELD RUN BLVD
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44233-9220
Mailing Address - Country:US
Mailing Address - Phone:330-241-8845
Mailing Address - Fax:
Practice Address - Street 1:150 WAKEFIELD RUN BLVD
Practice Address - Street 2:
Practice Address - City:HINCKLEY
Practice Address - State:OH
Practice Address - Zip Code:44233-9220
Practice Address - Country:US
Practice Address - Phone:330-241-8845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program