Individual
ANDRENA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17030 130TH AVE APT 5C, JAMAICA, NY 11434
(347) 232-1800
Mailing address
26 RAILROAD AVE # 172, BABYLON, NY 11702-2204
(917) 283-8316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
640068
NY
363L00000X
Nurse Practitioner
Primary
308004
NY
Other
Enumeration date
04/08/2011
Last updated
01/23/2025
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