Andersen, Tayne S

Andersen, Tayne S is an individual health care provider with primary practice located at 75 Francis St , Boston MA 02115-6110. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Andersen, Tayne S can be contacted via phone (617) 732-5636.

Contact Information

Primary practice address
75 Francis St Boston MA 02115-6110
Phone: (617) 732-5636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA100112 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA100112 Massachusetts

Profile Details

NPI number 1184492738
LBN Legal business name Andersen, Tayne S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2023
Last updated Apr 29th, 2024 - about 2 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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