Provider Demographics
NPI:1154819183
Name:CRONLEY, ANDREA MICHELLE (ARNP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:MICHELLE
Last Name:CRONLEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 CONWAY DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-6223
Mailing Address - Country:US
Mailing Address - Phone:904-710-7809
Mailing Address - Fax:
Practice Address - Street 1:2701 CONWAY DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-6223
Practice Address - Country:US
Practice Address - Phone:904-710-7809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024028357363LF0000X
MI4704419333363LF0000X
OH0036744363LF0000X
OK219923363LF0000X
TN36593363LF0000X
VA0024190765363LF0000X
MARN10011530363LF0000X, 163W00000X
NJ26NJ15245600363LF0000X
LA239188363LF0000X
FL9263718163W00000X
NVRN60816163W00000X
ALI-185689363LF0000X
CA95389579163W00000X
IN71015469A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily