Andersen, Tara Nicole

Andersen, Tara Nicole is an individual health care provider with primary practice located at 901 Kidwell Dr , Versailles MO 65084-1784. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Andersen, Tara Nicole can be contacted via phone (573) 378-4666.

Contact Information

Primary practice address
901 Kidwell Dr Versailles MO 65084-1784
Phone: (573) 378-4666
Fax: (573) 378-5099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2022006987 Missouri

Profile Details

NPI number 1699418160
LBN Legal business name Andersen, Tara Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2022
Last updated Apr 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers