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NPI Code Detail

MEDICARE: ANDREA TARRANT

MEDICARE:   ANDREA  TARRANT
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
1225400000XRehabilitation Practitioner
2372600000XAdult Companion

General Provider Information

NPI Number : 1366775165
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA TARRANT
Provider Business Mailing Address
First Line : 1500 E TROPICANA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6514
Country : US
Telephone Number : 702-462-2276
Fax Number :
Provider Business Practice Location Address
First Line : 1500 E TROPICANA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6514
Country : US
Telephone Number : 702-462-2276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2009
Last Update Date : 08/24/2020

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Directions to “ ANDREA TARRANT ” Practice Location

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