Tenn, Alicia Diane
Tenn, Alicia Diane is an individual health care provider with primary practice located at 1840 Mease Dr , Safety Harbor FL 34695-6602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tenn, Alicia Diane can be contacted via phone (813) 870-4948.Contact Information
Primary practice address
1840 Mease Dr
Safety Harbor FL 34695-6602
Phone: (813) 870-4948
Fax: (813) 554-8044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | ARNP9189682 | Florida |
Profile Details
| NPI number | 1518115740 |
|---|---|
| LBN Legal business name | Tenn, Alicia Diane |
| Credentials | PNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2008 |
| Last updated | Oct 27th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518115740 | NPPES |
| Florida | MEDICAID | 000488700 |
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