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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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 1518115740 NPPES
Florida MEDICAID 000488700

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