Provider Demographics
NPI:1083334742
Name:ANDRANOVICH, NATALIYA (MS,FNP-BC)
Entity Type:Individual
Prefix:
First Name:NATALIYA
Middle Name:
Last Name:ANDRANOVICH
Suffix:
Gender:F
Credentials:MS,FNP-BC
Other - Prefix:
Other - First Name:NATALIYA
Other - Middle Name:
Other - Last Name:KARPTSOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 N JAMES ST
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-2844
Mailing Address - Country:US
Mailing Address - Phone:315-338-7040
Mailing Address - Fax:
Practice Address - Street 1:1819 BLACK RIVER BLVD N
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-2451
Practice Address - Country:US
Practice Address - Phone:315-338-7000
Practice Address - Fax:315-339-1975
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF350007-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily