Provider Demographics
NPI:1972318855
Name:BIANCHI, ANDREA NAOMI (LPN)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:NAOMI
Last Name:BIANCHI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:ANDREA
Other - Middle Name:NAOMI
Other - Last Name:FAZIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1308 255TH AVE
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50213-8304
Mailing Address - Country:US
Mailing Address - Phone:515-988-2990
Mailing Address - Fax:
Practice Address - Street 1:3600 30TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-5753
Practice Address - Country:US
Practice Address - Phone:515-699-5999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAP52963164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse