Provider Demographics
NPI:1083911770
Name:ANDRADE, DEBBION ELAINE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DEBBION
Middle Name:ELAINE
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 EMILY AVENUE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4225
Mailing Address - Country:US
Mailing Address - Phone:516-616-4844
Mailing Address - Fax:
Practice Address - Street 1:221 EMILY AVENUE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4225
Practice Address - Country:US
Practice Address - Phone:516-616-4844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304346-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse