Andrea E Revoredo, is a
Licensed Practical Nurse based in Parlin, New Jersey. Andrea E Revoredo is licensed to practice in New Jersey (license number 26NP49612000) and her current practice location is
971 Us Highway 9 Apt 2-m, Parlin, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 670-8736.
NPI number for Andrea E Revoredo is 1376237149 and her current mailing address is 971 Us Highway 9 Apt 2-m, Parlin, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376237149.
Provider's Profile
Full Name | Andrea E Revoredo |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 971 Us Highway 9 Apt 2-m, Parlin, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376237149
- Provider Enumeration Date: 06/06/2023
- Last Update Date: 06/06/2023
Medical Identifiers
Medical identifiers for Andrea E Revoredo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376237149 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 26NP49612000 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea E Revoredo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Andrea E Revoredo, 971 Us Highway 9 Apt 2-m, Parlin, NJ 08859-2002 Ph: () - | Andrea E Revoredo, 971 Us Highway 9 Apt 2-m, Parlin, NJ 08859-2002 Ph: (732) 670-8736 |
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