Provider Demographics
NPI:1255685244
Name:ANDREANO, JOANN A
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:A
Last Name:ANDREANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 TOMPKINS ST
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34450-4141
Mailing Address - Country:US
Mailing Address - Phone:352-423-1799
Mailing Address - Fax:352-306-6841
Practice Address - Street 1:506 TOMPKINS ST
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34450-4141
Practice Address - Country:US
Practice Address - Phone:352-423-1799
Practice Address - Fax:352-306-6841
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2719237700000X
FLAS5807237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1306522461OtherJOHNSON'S HEARING CENTERS
OH45-2480339OtherHOLLY'S HEARING AID CENTER, LLC