Andrea Renee Tarrance, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3009 NW Wilson St
Fort Sill, OK 73503-9042

Phone

(580) 458-2134

Fax

(580) 458-2314

NPI assigned

Jul 7, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1891958278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 SE LANCELOT LN",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016392",
            "telephone_number": "580-458-2134",
            "fax_number": "580-458-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 NW WILSON ST",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735039042",
            "telephone_number": "580-458-2134",
            "fax_number": "580-458-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRANCE",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunland Optical Co., Inc.
• Brenda K Swain, A.R.N.P.
• David Swann, 68E-X2
• Jamie Lynn Swanson, MS,LPC
• George N Tanifum, DPM
• Janet Thornton Taylor, RN
• Pamela Taylor, LCSW
• The Janz Corporation (Janz Medical Supply)
• Stephen Thomas, DMD
• Michael Tracey, MD, FAAD

• Physician Assistant in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.