Individual
ALICIA DIANE TENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
1840 MEASE DR, SAFETY HARBOR, FL 34695-6602
(813) 870-4948
(813) 554-8044
Mailing address
2901 58TH AVE N., ST. PETERSBURG, FL 33714-1326
(727) 822-4300
(727) 456-1399
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9189682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000488700
—
FL
Enumeration date
08/29/2008
Last updated
10/27/2020
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