Provider Demographics
NPI:1740931088
Name:NEALL, ANDREINA GIULLIANA (APRN)
Entity type:Individual
Prefix:MS
First Name:ANDREINA
Middle Name:GIULLIANA
Last Name:NEALL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ANDREINA
Other - Middle Name:GIULLIANA
Other - Last Name:ADRIAZOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32 W GORE ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1134
Mailing Address - Country:US
Mailing Address - Phone:321-843-7471
Mailing Address - Fax:407-345-9765
Practice Address - Street 1:32 W GORE ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1134
Practice Address - Country:US
Practice Address - Phone:321-843-7471
Practice Address - Fax:407-345-9765
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-18
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11016332363LF0000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily