MEDICARE: ANDREA SCHILLING FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	351428	NY

General Provider Information

NPI Number	:	1578246682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA SCHILLING FNP-BC

Provider Business Mailing Address
First Line	:	184 KENT AVE APT A316
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11249-3178
Country	:	US
Telephone Number	:	859-609-0419
Fax Number	:

Provider Business Practice Location Address
First Line	:	737 PARK AVE APT 1D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4264
Country	:	US
Telephone Number	:	212-229-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2023
Last Update Date	:	08/08/2023

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