Female

Andrea M. House PMHNP-BC, APRN, MSN

Psychiatric/Mental Health Nurse Practitioner in Orange Park, FL(View on Map)

Full Name

Andrea Marcela House PMHNP-BC, APRN, MSN

NPI Number

1568938488

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/18/2018

Specialties

(Taxonomies)

Code

363LP0808X
2084P0800X
163W00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Florida
Florida

License Number

APRN11032921
RN9334235

Contact
Information

Purpose

Mailing
Location

Address

2218 CLUB LAKE DR
2218 CLUB LAKE DR

City

Orange Park
Orange Park

State

FL
FL

Postal Code

32065-2644
32065-2644

Country

US
US

Telephone Number

(904) 525-0896
(904) 525-0896

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/10/2024

Provider Address

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