NPI 1417819178 · live from the CMS NPI Registry
Tanna Anderson
Physician Assistant in Edwards, CO. National Provider Identifier 1417819178, active.
NPI record
| NPI | 1417819178 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2205 Cordillera Way, Edwards, CO 81632 |
| Practice phone | 970-237-4360 |
| Mailing address | Po Box 1166, Dillon, CO 80435 |
| Enumerated | December 1, 2025 |
| Last updated | March 5, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.