Tara Nicole Andersen, PA-C
NPI #1699418160 in Osage Beach, Missouri
Provider Information
- NPI Number
- 1699418160
- Entity Type
- Individual
- Name
- Tara Nicole Andersen, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Apr 13, 2022
- Last Updated
- Oct 7, 2025
Practice Location
- Address
- 54 HOSPITAL DR STE 201
- City
- Osage Beach
- State
- Missouri
- ZIP Code
- 65065-3050
- Phone
- (573) 302-2764
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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