Doctor profile · Federal record

Dr. Andrea Provan, CRNP

Family Nurse Practitioner · Annandale on Hudson, NY

  • NPI 1487612529
  • 20 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
30 Campus RD
Annandale on Hudson, NY 125049800
(845) 758-7433
fax (845) 758-7437
Mailing address
4663 Route 9G
Germantown, NY 125265128

Credentials & registration

NPPES · NUCC
NPI registered
May 2006 — 20 yrs on file
Profile last updated
June 27, 2023
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
New York #331217

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1487612529. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$97
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Gilead Sciences, INC. 1 $96.68

By nature of payment

Food and Beverage
$97

Frequently asked questions

Auto-generated from federal data
What is Dr. Andrea Provan's medical specialty?
Dr. Andrea Provan practices Family Nurse Practitioner in Annandale on Hudson, NY.
Where does Dr. Andrea Provan practice?
Dr. Andrea Provan practices at 30 Campus RD, Annandale on Hudson, NY 125049800. Office phone: 8457587433.
What is Dr. Andrea Provan's NPI?
Dr. Andrea Provan's National Provider Identifier (NPI) is 1487612529, issued by NPPES.