Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea Distefano, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1639580236

Andrea Distefano, FNP-BC is a Nurse Practitioner in Ponte Vedra Beach, Florida. Qualified in 2006, 20 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Licensed in
FL
In the registry since
2014
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

103 Solana Rd Ste B
Ponte Vedra Beach, FL 32082-2231
Phone: (904) 273-2717
Fax: (904) 273-0410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9262502 (FL)

Record details

NPI number1639580236
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 16, 2014
Last updated in NPPESOctober 14, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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