Pretulak, Marianna Evelyn

Pretulak, Marianna Evelyn is an individual health care provider with primary practice located at 1005 Grove Rd , Greenville SC 29605-4630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Pretulak, Marianna Evelyn can be contacted via phone (864) 455-6900.

Contact Information

Primary practice address
1005 Grove Rd Greenville SC 29605-4630
Fax: (864) 255-5619
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4155 South Carolina

Profile Details

NPI number 1942520002
LBN Legal business name Pretulak, Marianna Evelyn
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2010
Last updated May 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942520002 NPPES
South Carolina MEDICAID NP1677

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