Tatyana Andersen
Nurse Practitioner, Psych/Mental Health in Pearl Harbor, HI. Individual provider (NPI-1).
NPI number1982240891
StatusActive
Last updated in NPPESOct 28, 2022
Details
- NPI
- 1982240891
- Entity type
- Individual (NPI-1)
- Name
- Tatyana Andersen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 26, 2019
- Certification date
- Oct 17, 2022
- Last updated
- Oct 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | R225654 | MD | Yes |
Practice location
Naval Health Clinic Hawaii 480 Central AvenuePearl Harbor, HI
Phone 808-473-0650
Mailing address
Naval Health Clinic Hawaii 480 Central AvenuePearl Harbor, HAWAII 96860
United States Minor Outlying Islands
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