Tequila Anderson
NP | Nurse Practitioner - Primary Care
1612 Airport Blvd, West Columbia
South Carolina, 29169-5016
803-380-6399
Tequila Anderson is a West Columbia, South Carolina based nurse practitioner who is specialized as Primary Care NP. Active license number of Tequila Anderson is 29092 for Primary Care NP in South Carolina. Her current practice location is 1612 Airport Blvd, West Columbia. Patients can reach her at 803-380-6399 or can fax her at 877-484-7187. Tequila Anderson is NP with specialization in Primary Care NP and her NPI number (Unique professional ID assigned by NPPES) is 1194553826.
Tequila Anderson is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Tequila Anderson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Tequila Anderson |
| Specialization: | Nurse Practitioner - Primary Care (PCNP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 1612 Airport Blvd, West Columbia,
South Carolina, 29169-5016 |
| Phone: | 803-380-6399 |
| Fax: | 877-484-7187 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1194553826 |
| NPI Enumeration Date: | 24 Jul, 2024 |
| NPI Last Update On: | 26 Mar, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tequila Anderson are as mentioned below.
| License Number | Specialization | State | Status | |
| 29092 | Primary Care NP | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Tequila Anderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| NN0622 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tequila Anderson
1612 Airport Blvd,
West Columbia, South Carolina |
| Zip: | 29169-5016 |
| Phone Number: | 803-380-6399 |
| Fax Number: | 877-484-7187 |
Patients can reach Tequila Anderson at
1612 Airport Blvd, West Columbia, South Carolina or can
call to book an appointment on 803-380-6399.
Comments/ Reviews:
Patients can read all the reviews posted for Tequila Anderson below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Tequila Anderson. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.