Individual provider · Type 1 NPI

Tara Nicole Andersen, PA-C

Physician Assistant · Osage Beach, MO

NPI number 1699418160 Active

Practice location

54 Hospital Dr Ste 201
Osage Beach, MO 65065-3050

Call (573) 302-2764 Map

Fax (573) 302-2767

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2022006987 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1699418160

Tara Nicole Andersen, PA-C's National Provider Identifier is 1699418160, issued on Apr 13, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Osage Beach, MO. The record was last updated on Oct 7, 2025.