Individual
MS. MELLISA DEANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
179 DRAKE AVE, NEW ROCHELLE, NY 10805-1759
(617) 960-6588
Mailing address
179 DRAKE AVE, NEW ROCHELLE, NY 10805-1759
(617) 960-6588
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN2337063
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
202631228
NY
Other
Enumeration date
08/26/2020
Last updated
04/20/2026
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