Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 420309 | NY |
NPI | 1952557472 |
---|---|
Provider Name | Ms. Julia Margaret Mcandrew |
First Address | Olean, NY 14760-1100 |
Second Address | Olean, NY 14760-1100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2008 |
Last Update Date | 15/08/2008 |