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Contact Information

TANNER W ANDRE, PA
888 SWIFT BLVD
RICHLAND, WA99352-3514
 Phone: 949-212-6116
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TANNER W ANDRE · (Male)

NPI Number 1750862116
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/23/2018
Last updated 03/29/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 1151313
Hospital affiliation(s) Not Available
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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