Individual
ANDREA ELIZABETH NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
70 MAPLE AVE, SMITHTOWN, NY 11787-3502
(631) 361-7526
Mailing address
57 SEAFIELD LN, BAY SHORE, NY 11706-7847
(631) 456-0518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
705287
NY
363LF0000X
Family Nurse Practitioner
Primary
353105
NY
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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