Provider Demographics
NPI:1801377502
Name:ANDREO, DANA (APRN)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:
Last Name:ANDREO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 481
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-0481
Mailing Address - Country:US
Mailing Address - Phone:860-753-1939
Mailing Address - Fax:
Practice Address - Street 1:65 MEMORIAL RD STE 435
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-4205
Practice Address - Country:US
Practice Address - Phone:860-696-2840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7772363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner