Provider Demographics
NPI:1114549755
Name:BORDEIANU, MARIA ANDREEA (FPA-APRN)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ANDREEA
Last Name:BORDEIANU
Suffix:
Gender:F
Credentials:FPA-APRN
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Mailing Address - Street 1:6050 N CALIFORNIA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3916
Mailing Address - Country:US
Mailing Address - Phone:773-406-2866
Mailing Address - Fax:847-675-6092
Practice Address - Street 1:7800 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-3124
Practice Address - Country:US
Practice Address - Phone:312-809-0777
Practice Address - Fax:773-492-8783
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-16
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
106E00000X
IL277002341363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst