Tinnerello, Mary-Ellen Dorathy Katrina

Tinnerello, Mary-Ellen Dorathy Katrina is an individual health care provider with primary practice located at 4664 Browning Ct , Crestview FL 32539-5730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tinnerello, Mary-Ellen Dorathy Katrina can be contacted via phone (910) 568-2028.

Contact Information

Primary practice address
4664 Browning Ct Crestview FL 32539-5730
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9327432 Florida

Profile Details

NPI number 1881168284
LBN Legal business name Tinnerello, Mary-Ellen Dorathy Katrina
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2019
Last updated Jan 18th, 2019 - about 7 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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