Prevatte, Mariah Tienna
Prevatte, Mariah Tienna is an individual health care provider with primary practice located at 1324 Lakeland Hills Blvd , Lakeland FL 33805-4543. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Prevatte, Mariah Tienna can be contacted via phone (863) 687-1100.Contact Information
Primary practice address
1324 Lakeland Hills Blvd
Lakeland FL 33805-4543
Phone: (863) 687-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | RN9423564 | Florida |
Profile Details
| NPI number | 1750120705 |
|---|---|
| LBN Legal business name | Prevatte, Mariah Tienna |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2024 |
| Last updated | May 20th, 2024 - about last year |
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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