Provider Demographics
NPI:1003957309
Name:CARAFELLI, ANDREA KAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:KAY
Last Name:CARAFELLI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 MARLOWE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5578
Mailing Address - Country:US
Mailing Address - Phone:586-498-8581
Mailing Address - Fax:
Practice Address - Street 1:25401 HARPER AVE STE 2
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-2248
Practice Address - Country:US
Practice Address - Phone:586-466-6912
Practice Address - Fax:586-498-8581
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704239562163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult