Andrea Denise McHan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11010493 Issued in FL

Practice address

3300 US 27 S
Avon Park, FL 33825-9701

Phone

(863) 385-6700

NPI assigned

Dec 21, 2020

Last updated

Jun 12, 2021By the provider in NPPES

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

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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623456000000",
    "number": "1407442718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338731025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 US 27 S",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259701",
            "telephone_number": "863-385-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4517 Vivian Dr",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338721723",
            "country_code": "US",
            "telephone_number": "863-245-3264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCHAN",
        "first_name": "ANDREA",
        "middle_name": "DENISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mariani, APRN
• Shakira Martinez Rosario
• Christopher Martinez, COTA/L
• Yaser Omar Martinez
• Destanee Mathis
• Tina McLean, PA-C
• Shavonna Tramaine McQueen
• Milette Medina
• Ginangeli Mendez Pagan
• Diane Mera Dominguez

• Family Nurse Practitioner in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.