Individual
JOHN THOMAS ANDRIANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2289
(570) 887-2307
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F3352841
NY
363L00000X
Nurse Practitioner
Primary
SP010357
PA
363LF0000X
Family Nurse Practitioner
SP010357
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02914047
—
NY
Enumeration date
07/31/2007
Last updated
03/05/2021
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