Individual
WENDI ANDRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
19 CLOVERWOOD PL, ISLIP, NY 11751-4617
(631) 707-6598
Mailing address
19 CLOVERWOOD PL, ISLIP, NY 11751-4617
(631) 707-6598
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
22 505882
NY
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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