Provider Demographics
NPI:1508413139
Name:MCLYMONT, ANDREA E (RN)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:E
Last Name:MCLYMONT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:ANDREA
Other - Middle Name:E
Other - Last Name:CLARKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9414 BOCA RIVER CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-3972
Mailing Address - Country:US
Mailing Address - Phone:407-413-0282
Mailing Address - Fax:
Practice Address - Street 1:720 WOOD ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-4413
Practice Address - Country:US
Practice Address - Phone:707-268-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4703531163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health