Provider Demographics
NPI:1114117736
Name:EFRE, ANDREA JANE (DNP, ARNP, ANP-BC)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:JANE
Last Name:EFRE
Suffix:
Gender:F
Credentials:DNP, ARNP, ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5537 SHELDON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-3153
Mailing Address - Country:US
Mailing Address - Phone:813-503-6206
Mailing Address - Fax:
Practice Address - Street 1:5537 SHELDON RD
Practice Address - Street 2:SUITE A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3153
Practice Address - Country:US
Practice Address - Phone:813-503-6206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2900022363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health