MS. ANDREA Y PROVAN CRNP
NPI 1487612529
Nurse Practitioner - Family in Annandale On Hudson, NY

Active since May 01, 2006
30 CAMPUS RD, ANNANDALE ON HUDSON, NY 12504(845) 758-7433(845) 758-7437 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Andrea Y Provan Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANDREA Y PROVAN CRNP (NPI 1487612529) is an individual family provider in Annandale On Hudson, New York, licensed in New York (331217) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1487612529
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. ANDREA Y PROVANCredential: CRNP
Location Address30 CAMPUS RDAnnandale On Hudson, NY 12504-9800
Mailing Address4663 Route 9gGermantown, NY 12526-5128 · (518) 537-7678
Fax(845) 758-7437
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
NPI 1487612529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 331217
30 CAMPUS RD, Annandale On Hudson, NY 12504

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
30 CAMPUS RD
ANNANDALE ON HUDSON, NY 12504
Specialist/Technologist (Athletic Trainer)
30 CAMPUS RD
ANNANDALE ON HUDSON, NY 12504
Nurse Practitioner (Family)
30 CAMPUS RD, BARD COLLEGE HEALTH SERVICE
ANNANDALE ON HUDSON, NY 12504
Nurse Practitioner (Family)
30 CAMPUS RD
ANNANDALE ON HUDSON, NY 12504
Specialist/Technologist (Athletic Trainer)
30 CAMPUS RD
ANNANDALE ON HUDSON, NY 12504
Nurse Practitioner (Family)
30 CAMPUS RD, BARD COLLEGE HEALTH SERVICE
ANNANDALE-ON-HUDSON, NY 12504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Provan's NPI number?

The NPI number for Andrea Provan is 1487612529. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Andrea Provan located?

Andrea Provan practices at 30 Campus Rd, Annandale On Hudson, NY 12504. The listed phone number is (845) 758-7433.

What is Andrea Provan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Andrea Provan was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.