MEDICARE: TARAH LYNN ANDERSON ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A162325	IA

General Provider Information

NPI Number	:	1932792215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARAH LYNN ANDERSON ARNP

Provider Business Mailing Address
First Line	:	1111 DUFF AVE
Second Line	:
City	:	AMES
State	:	IA
Zip	:	50010-5745
Country	:	US
Telephone Number	:	515-239-2444
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 MOUSE CREEK RD NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3840
Country	:	US
Telephone Number	:	423-458-1426
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2021
Last Update Date	:	04/15/2026

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