Lilibeth Villanueva Andrada, RN, CPNP
Individual provider Active NPI Registered Nurse · New Milford, NJ
NPI 1174749154 · NPPES record last updated Aug 2, 2007
Key facts
- NPI
- 1174749154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4212561 (NY)
- Practice address
- 597 Rhein CT
New Milford, NJ 07646-1030 - Phone
- (201) 384-8564
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Pediatric Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4212561 | NY | MD | Registered Nurse |
| F 381370-1 | NY | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F 381370-1 | NY | |
| Registered Nurse | 163W00000X | 4212561 | NY | Yes |
Addresses
Primary practice location
597 Rhein CT
New Milford, NJ 07646-1030
Mailing address
597 Rhein CT
New Milford, NJ 07646-1030
Phone (201) 384-8564
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- Jeffrey H Altman
- Robert Anokye
- Alena Ansolis
- Kirstin Gail Apostol
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- Mary Kristelyn Ann Asok
All providers in New Milford, NJ · Registered Nurse in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.