MEDICARE: TAMARA EVE 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	363L00000X	Nurse Practitioner	ARNP9234291	FL

General Provider Information

NPI Number	:	1881058642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA EVE ANDERSON ARNP

Provider Business Mailing Address
First Line	:	9149 ESTATE THOMAS
Second Line	:	#104
City	:	ST THOMAS
State	:	VI
Zip	:	00802
Country	:	UM
Telephone Number	:	340-772-2883
Fax Number	:	340-772-2882

Provider Business Practice Location Address
First Line	:	4423 ESTATE MARYS FANCY
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-5244
Country	:	US
Telephone Number	:	340-692-5000
Fax Number	:	340-692-5002

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

Provider Enumeration Date	:	04/07/2016
Last Update Date	:	05/10/2022

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