Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA ANDERSON
ActiveTARA ANDERSON is a 405300000X healthcare provider located in MAYSVILLE, Kentucky. NPI 1083174866 is currently active in the NPPES registry. Verify at CMS.
405300000X · MAYSVILLE, KY
Registration Details
- NPI Number
- 1083174866
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2019 (7.2134355096262 yrs)
- Last Updated
- Mar 20, 2019
- License
-
000000 (KY)
Practice Information
- Address
-
611 FOREST AVEMAYSVILLE, KY, 410561411Browse KY providers · Browse ZIP 41056
- Phone
- 6065644016
- Fax
- 6065648288
- Primary Specialty
-
405300000X
405300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.