MARIAH TIENNA PREVATTE

LAKELAND, FL
NPI1750120705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: FL  APRN11035770)
Additional Taxonomies163WP0200X Registered Nurse, Pediatrics
(Licence: FL  RN9423564)
Enumeration Date2024-05-20
Last Update Date2025-02-09
Business Address
MARIAH TIENNA PREVATTE APRN
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1100
Mailing Address
MARIAH TIENNA PREVATTE APRN
1850 SADDLEWOOD PL
BARTOW, FL 33830-2917
Phone number: 863-253-9839