Individual
MRS. ANDEAN ANDREA WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP BC
Contact information
Practice address
3 ROSEWOOD ST, CENTRAL ISLIP, NY 11722-4705
(516) 996-3323
Mailing address
19 E AVON DR, AMITYVILLE, NY 11701-2023
(516) 996-3323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
577868-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F343071-1
NY
Other
Enumeration date
10/15/2008
Last updated
09/12/2018
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