IndividualActive
Andrea Revoredo
NPI 1376237149 · Licensed Practical Nurse · Parlin, NJ
Provider details
- NPI number
- 1376237149
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 26NP49612000 (NJ)
Specialties & taxonomies
Nursing Service Providers
Practice location
971 US Highway 9 Apt 2-M
Parlin, NJ 08859-2002
Phone: (732) 670-8736
Approximate (ZIP-level) locationGet directions
Mailing address
971 US Highway 9 Apt 2-M
Parlin, NJ 08859-2002
Registry dates
- Enumerated
- 2023-06-06
- Last updated
- 2023-06-06
- Certified
- 2023-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.