Provider Demographics
NPI:1396450771
Name:GASKIN, ANDREA (FNP)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:GASKIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1359 STOCKTON ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-5508
Mailing Address - Country:US
Mailing Address - Phone:732-956-7755
Mailing Address - Fax:
Practice Address - Street 1:2333 MORRIS AVE STE A115
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5755
Practice Address - Country:US
Practice Address - Phone:908-206-0606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01422900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily