Provider Demographics
NPI:1891993291
Name:MCFARLANE, ANDREA (LICENSED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:MCFARLANE
Suffix:
Gender:F
Credentials:LICENSED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 PENFIELD ST
Mailing Address - Street 2:APT 1R
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-1341
Mailing Address - Country:US
Mailing Address - Phone:718-519-0321
Mailing Address - Fax:
Practice Address - Street 1:815 PENFIELD ST
Practice Address - Street 2:APT 1R
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-1341
Practice Address - Country:US
Practice Address - Phone:718-519-0321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY286864164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02851316Medicaid