# MRS. ANDREA TENNANCOUR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356866834
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 71007209A | IN | — |
| 363LA2200X | Adult Health Nurse Practitioner | 71007209A | IN | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 089858-23 | NH | — |

## Other

- **Enumeration date:** 08/07/2017
- **Last updated:** 09/30/2025