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Tamikio P Anderson, FNP
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1104546068

Tamikio P Anderson is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Tamikio P Anderson practices in Philadelphia, PA and has the professional credentials of FNP. The NPI Number for Tamikio P Anderson is 1104546068 and holds a License No. SP026222 (Pennsylvania).

The current practice location address for Tamikio P Anderson is 3401 N Broad St, Philadelphia, PA and can be reached out via phone at 267-269-5705.

Location: 3401 N Broad St, Philadelphia, PA, 19140-5189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104546068
Provider Name
Tamikio P Anderson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3401 N Broad St, Philadelphia, PA, 19140-5189
Phone Number
267-269-5705
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SP026222 01 PA CRNP LICENSE
institution
Provider Business Practice Location Address Details
Address
3401 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140-5189
Phone Number
267-269-5705
Fax Number
person
Provider Business Mailing Address Details
Address
3401 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140-5189
Phone Number
267-269-5705
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP026222 (Pennsylvania)
Definition
Definition to come...
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