Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26NN08204300 | NJ |
NPI | 1285620047 |
---|---|
Provider Name | Ms. Velina Alicia Andrewski |
First Address | Toms River, NJ 08753-2934 |
Second Address | Toms River, NJ 08755-6435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 05/03/2008 |