IndividualActive
Andrea Tanner, FNP
NPI 1164039061 · Nurse Practitioner · Sutton, WV
Provider details
- NPI number
- 1164039061
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 105472 (WV)
Practice location
273 Skidmore Ln
Sutton, WV 26601-9272
Phone: (304) 765-4400
Fax: (304) 765-0354
Mailing address
273 Skidmore Ln
Sutton, WV 26601-9272
Registry dates
- Enumerated
- 2020-09-25
- Last updated
- 2022-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.