Nancy Bernadette Andresen, CRNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

UP001927C Issued in PA

Practice address

1700 N Broad St
Philadelphia, PA 19121

Phone

(215) 707-2679

Fax

(215) 707-1784

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1013137892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-2400",
            "fax_number": "215-707-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19121",
            "telephone_number": "215-707-2679",
            "fax_number": "215-707-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESEN",
        "first_name": "NANCY",
        "middle_name": "BERNADETTE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "UP001927C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "RN225770L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penelope Andreolas
• Cody Andreoni, MD
• Kenneth A. Andreoni, M.D.
• Gregory R Andres
• McKayla Mawn Andres, MD
• Olivia Andretti, MD
• Andrew Negrey Psychotherapy LLC
• Andrew Vogelson & Associates
• Temitayo Andrew
• Taylor Scott Andrews-Spicer, PA-C

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.