Provider Demographics
NPI:1265228456
Name:ANDREWS, TAWANDA (LPN)
Entity type:Individual
Prefix:MS
First Name:TAWANDA
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 STATE ROUTE 35
Mailing Address - Street 2:
Mailing Address - City:CLIFFWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07721-1512
Mailing Address - Country:US
Mailing Address - Phone:848-303-4933
Mailing Address - Fax:848-303-4933
Practice Address - Street 1:111 STATE ROUTE 35
Practice Address - Street 2:
Practice Address - City:CLIFFWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07721-1512
Practice Address - Country:US
Practice Address - Phone:848-303-4933
Practice Address - Fax:848-303-4933
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP49674600164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse