Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Tabbert

Individual provider Nurse Practitioner · NPI 1063048049

Andrea Tabbert is a Nurse Practitioner in Sylvania, Ohio. Qualified in 2020, 6 years ago. Practices with Promedica Multi Specialty Physicians, a 270-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

5300 Harroun Rd Ste 201
Sylvania, OH 43560-2146
Phone: (419) 885-5563
Fax: (419) 885-5439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.026536 (OH)

Record details

NPI number1063048049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2020
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022
Mailing address333 N Summit St Fl 7, Toledo, OH 43604-1531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Promedica Multi Specialty Physicians — 270 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sylvania