National Provider Identifier Database

TAMIKIO P ANDERSON, FNP – NPI #1104546068
Family


Contact Information

TAMIKIO P ANDERSON, FNP
2 W BALTIMORE AVE STE 101
MEDIA, PA19063-3740
Phone: 484-227-0900
Fax: 484-227-2132
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for TAMIKIO P ANDERSON

NPI Number 1104546068
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/31/2022
Last updated 01/09/2026 - About 5 months ago
Sole proprietor1 Yes
Identifiers
  • PA License #: SP026222
  • PA Other: SP026222 CRNP LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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