Individual
PATRICIA ANDREVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
14 BRYN MAWR RD, WEST ORANGE, NJ 07052-3608
(201) 207-6679
Mailing address
14 BRYN MAWR RD, WEST ORANGE, NJ 07052-3608
(201) 207-6679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR08949800
NJ
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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