Provider Demographics
NPI:1083850457
Name:ANDREWS, JOANA
Entity Type:Individual
Prefix:
First Name:JOANA
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 ELGAR PL
Mailing Address - Street 2:APT 16K
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-5201
Mailing Address - Country:US
Mailing Address - Phone:718-671-9844
Mailing Address - Fax:
Practice Address - Street 1:140 ELGAR PL
Practice Address - Street 2:APT 16K
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-5201
Practice Address - Country:US
Practice Address - Phone:718-671-9844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295541164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse