Provan, Andrea Y

Provan, Andrea Y is an individual health care provider with primary practice located at 30 Campus Rd , Annandale On Hudson NY 12504-9800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Provan, Andrea Y can be contacted via phone (845) 758-7433.

Contact Information

Primary practice address
30 Campus Rd Annandale On Hudson NY 12504-9800
Phone: (845) 758-7433
Fax: (845) 758-7437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 331217 New York

Profile Details

NPI number 1487612529
LBN Legal business name Provan, Andrea Y
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jun 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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