Provider Demographics
NPI:1932809449
Name:D'ANDREA, MARGARET ANN (RN BSN IBCLC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:D'ANDREA
Suffix:
Gender:F
Credentials:RN BSN IBCLC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANN
Other - Last Name:O'BRIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN IBCLC
Mailing Address - Street 1:1211 SAINT CLAIR RD
Mailing Address - Street 2:
Mailing Address - City:ORELAND
Mailing Address - State:PA
Mailing Address - Zip Code:19075-1902
Mailing Address - Country:US
Mailing Address - Phone:215-840-6927
Mailing Address - Fax:
Practice Address - Street 1:1211 SAINT CLAIR RD
Practice Address - Street 2:
Practice Address - City:ORELAND
Practice Address - State:PA
Practice Address - Zip Code:19075-1902
Practice Address - Country:US
Practice Address - Phone:215-840-6927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN306317L163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant