Doctor Name: | MRS. LILIBETH VILLANUEVA ANDRADA |
NPI Number: | 1174749154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CPNP |
License Number: | F 381370-1 |
Business Practice Address: | 597 Rhein Ct New Milford, NJ - 076461030 |
Business Phone Number: | 2013848564 |
Business Fax Number: | |
Mailing Address: | 597 Rhein Ct, NEW MILFORD |
State: | NJ |
Postal Code: | 076461030 |
Phone Number: | 2013848564 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 08/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | F 381370-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |