Provider Demographics
NPI:1265325476
Name:ANDREWS, BREANNA (RN, MSN, PHN, IBCLC)
Entity type:Individual
Prefix:
First Name:BREANNA
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:RN, MSN, PHN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 MISSION DR
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4209
Mailing Address - Country:US
Mailing Address - Phone:714-403-3402
Mailing Address - Fax:
Practice Address - Street 1:1122 MISSION DR
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4209
Practice Address - Country:US
Practice Address - Phone:714-403-3403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-316942163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant