Andersen, Tara Nissa

Andersen, Tara Nissa is an individual health care provider with primary practice located at 1215 Duff Ave , Ames IA 50010-5400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Andersen, Tara Nissa can be contacted via phone (515) 239-4404.

Contact Information

Primary practice address
1215 Duff Ave Ames IA 50010-5400
Phone: (515) 239-4404
Fax: (515) 239-4721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2006018054 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3863 Iowa

Profile Details

NPI number 1881734499
LBN Legal business name Andersen, Tara Nissa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Dec 10th, 2020 - about 4 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.

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