Individual provider · Type 1 NPI

Andra Tillery

School Registered Nurse · Long Island City, NY

NPI number 1952127714 Active

Practice location

2811 Queens Plz N
Long Island City, NY 11101-4172

Mailing address

9524 Schenck St Apt 3
Brooklyn, NY 11236-5576

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X810841 (NY)
School Registered Nurse Primary 163WS0200X810841 (NY)

School Registered Nurse: Definition to come...

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About NPI 1952127714

Andra Tillery's National Provider Identifier is 1952127714, issued on Nov 26, 2024. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Long Island City, NY. The record was last updated on Nov 26, 2024.