Provider Demographics
NPI:1881058642
Name:ANDERSON, TAMARA EVE (ARNP)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:EVE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:EVE
Other - Middle Name:
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:9149 ESTATE THOMAS
Mailing Address - Street 2:#104
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802
Mailing Address - Country:UM
Mailing Address - Phone:340-772-2883
Mailing Address - Fax:340-772-2882
Practice Address - Street 1:4423 ESTATE MARYS FANCY
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-5244
Practice Address - Country:US
Practice Address - Phone:340-692-5000
Practice Address - Fax:340-692-5002
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9234291363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner