National Provider Identifier
Tayne S Andersen, PA
Tayne S Andersen, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Boston, MA and a listed phone number of (617) 732-5636.
Source: public NPPES record, last updated April 29, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1184492738
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- December 13, 2023
- Last Updated
- April 29, 2024
Practice Location
- 75 Francis St
- Boston, MA 02115-6110
Phone: (617) 732-5636
Mailing Address
- 9 Mount Vernon St Apt 1
- Dorchester, MA 02125-1791
Specialties
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
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Biography
Tayne Andersen, PA, is an emergency medicine physician assistant at Brigham and Women’s Hospital in Boston. She completed her Master of Science in Physician Assistant Studies at Northeastern University in 2023 and holds NCCPA certification, with additional Advanced Trauma Life Support training; her hospital affiliations include Brigham and Women’s Hospital and Brigham and Women’s Faulkner Hospital.
Full Record
- NPI
- 1184492738
- Entity Type
- Individual
- Last Name
- Andersen
- First Name
- Tayne
- Middle Name
- S
- Credential
- PA
- Mailing Street Address
- 9 Mount Vernon St Apt 1
- Mailing City
- Dorchester
- Mailing State
- MA
- Mailing ZIP Code
- 02125-1791
- Mailing Country
- US
- Practice Street Address
- 75 Francis St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-6110
- Practice Country
- US
- Practice Phone
- (617) 732-5636
- Enumeration Date
- December 13, 2023
- Last Updated
- April 29, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 29, 2024
- Taxonomies
- Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)