MEDICARE: ANDREW SPENCER MCGREEVY APRN, 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	163WE0003X	Emergency Registered Nurse	RN9573508	FL
2	363LF0000X	Family Nurse Practitioner	APRN11030280	FL

General Provider Information

NPI Number	:	1225807977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW SPENCER MCGREEVY APRN, FNP-BC

Provider Business Mailing Address
First Line	:	508 N LECANTO HWY
Second Line	:
City	:	LECANTO
State	:	FL
Zip	:	34461-8547
Country	:	US
Telephone Number	:	352-689-1252
Fax Number	:

Provider Business Practice Location Address
First Line	:	508 N LECANTO HWY
Second Line	:
City	:	LECANTO
State	:	FL
Zip	:	34461-8547
Country	:	US
Telephone Number	:	352-689-1252
Fax Number	:

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

Provider Enumeration Date	:	12/21/2023
Last Update Date	:	12/02/2025

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