Provider Demographics
NPI:1780163543
Name:SAVERINO, ANDREA JOANN (FNP-C)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:JOANN
Last Name:SAVERINO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:JOANN
Other - Last Name:ROST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1105 S 4TH TER
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:MO
Mailing Address - Zip Code:64485-1805
Mailing Address - Country:US
Mailing Address - Phone:816-344-0056
Mailing Address - Fax:
Practice Address - Street 1:1115 N BELT HWY
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2410
Practice Address - Country:US
Practice Address - Phone:816-271-6122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-12
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018024576363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily