| Andrea Jo Tanner, FNP | |
|
273 Skidmore Ln, Sutton, WV 26601-9272 | |
| (304) 765-4400 | |
| (304) 765-0354 |
| Full Name | Andrea Jo Tanner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 273 Skidmore Ln, Sutton, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164039061 | NPI | - | NPPES |
| 105472 | Other | WV | APRN, FNP-C |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 105472 (West Virginia) | Primary |
| Entity Name | Community Care of West Virginia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063048189 PECOS PAC ID: 0446232987 Enrollment ID: O20201111000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Jo Tanner, FNP 273 Skidmore Ln, Sutton, WV 26601-9272 Ph: (304) 765-4400 | Andrea Jo Tanner, FNP 273 Skidmore Ln, Sutton, WV 26601-9272 Ph: (304) 765-4400 |
Amy R Leibli, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 266 Skidmore Ln, Sutton, WV 26601 Phone: 304-765-4400 Fax: 304-765-0354 |
Mrs. Stephanie Hope Jackson, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 266 Skidmore Ln, Sutton, WV 26601 Phone: 304-765-0351 Fax: 304-765-7019 |
Katherine Flint, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 266 Skidmore Ln, Sutton, WV 26601 Phone: 304-765-0351 Fax: 304-765-7019 |
Sharon Eaton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11455 Bug Ridge Rd, Sutton, WV 26601 Phone: 856-305-7467 |
Angel J Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 859 Days Dr, Sutton, WV 26601 Phone: 304-765-2861 |