National Provider Identifier

Andrea D Decker

Andrea D Decker is listed in the NPPES registry with a primary specialty of Hospice Registered Nurse in Jamestown, NY and a listed phone number of (716) 969-4095.

NPI 1417596354Jamestown, NYHospice Registered Nurse

Profile Overview

NPI
1417596354
Provider Type
Individual
Primary Specialty
Hospice Registered Nurse
Enumeration Date
December 24, 2019
Last Updated
December 24, 2019

Practice Location

  • 1006 Prendergast Ave
  • Jamestown, NY 14701-3314

Phone: (716) 969-4095

Specialties

  • Hospice Registered Nurse (163WH1000X)
Full Record
NPI
1417596354
Entity Type
Individual
Last Name
Decker
First Name
Andrea
Middle Name
D
Mailing Street Address
1006 Prendergast Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-3314
Mailing Country
US
Mailing Phone
(716) 969-4095
Practice Street Address
1006 Prendergast Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-3314
Practice Country
US
Practice Phone
(716) 969-4095
Enumeration Date
December 24, 2019
Last Updated
December 24, 2019
Sex
Female
Sole Proprietor
Yes
Certification Date
December 24, 2019
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Hospice Registered Nurse (163WH1000X)