Provider Demographics
NPI:1871824763
Name:BILLS, ANDREA L (APN)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:L
Last Name:BILLS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:360 ESSEX STREET
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-8566
Mailing Address - Country:US
Mailing Address - Phone:551-996-8867
Mailing Address - Fax:551-996-8873
Practice Address - Street 1:360 ESSEX STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-8566
Practice Address - Country:US
Practice Address - Phone:551-996-8867
Practice Address - Fax:551-996-8873
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-17
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO12389700163WR0006X
NJ26NJ01040500363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant