Provider Demographics
NPI:1952816159
Name:DEANDREAS, TAUREAN TOMORROW (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:TAUREAN
Middle Name:TOMORROW
Last Name:DEANDREAS
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 GEORGIA ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201-2307
Mailing Address - Country:US
Mailing Address - Phone:716-243-2762
Mailing Address - Fax:
Practice Address - Street 1:267 GEORGIA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-2307
Practice Address - Country:US
Practice Address - Phone:716-243-2762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-10
Last Update Date:2017-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY728277163WP0000X, 163WR0400X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP0000XNursing Service ProvidersRegistered NursePain Management
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation