Provider Demographics
NPI:1982197711
Name:BOHN, ANNDREA (FNP-C)
Entity type:Individual
Prefix:
First Name:ANNDREA
Middle Name:
Last Name:BOHN
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 STACY DR
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-6043
Mailing Address - Country:US
Mailing Address - Phone:607-760-9015
Mailing Address - Fax:
Practice Address - Street 1:400 PLAZA DR STE C
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-3648
Practice Address - Country:US
Practice Address - Phone:607-237-0065
Practice Address - Fax:888-832-4418
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348172363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily