Provider Demographics
NPI:1326294422
Name:GIORDANI, ANDREA MISSANT (RN,BSN,CNOR,RNFA)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:MISSANT
Last Name:GIORDANI
Suffix:
Gender:F
Credentials:RN,BSN,CNOR,RNFA
Other - Prefix:MS
Other - First Name:ANDREA
Other - Middle Name:LYNN
Other - Last Name:MISSANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 9218
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-9218
Mailing Address - Country:US
Mailing Address - Phone:561-263-7410
Mailing Address - Fax:561-263-7413
Practice Address - Street 1:1210 SOUTH OLD DIXIE HWY
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7205
Practice Address - Country:US
Practice Address - Phone:561-747-2234
Practice Address - Fax:561-263-7413
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL50-1630163WR0006X
FL9177698163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant