Provider Demographics
NPI:1750999173
Name:ANDRAS, ADINA VERONELA (FNP-C)
Entity type:Individual
Prefix:
First Name:ADINA
Middle Name:VERONELA
Last Name:ANDRAS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 TUNNEL RD
Mailing Address - Street 2:
Mailing Address - City:WHITE HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:18661-3621
Mailing Address - Country:US
Mailing Address - Phone:570-417-8318
Mailing Address - Fax:
Practice Address - Street 1:640 TUNNEL RD
Practice Address - Street 2:
Practice Address - City:WHITE HAVEN
Practice Address - State:PA
Practice Address - Zip Code:18661-3621
Practice Address - Country:US
Practice Address - Phone:570-417-8318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN684324163WM0705X
PASP022298363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical