Individual
MS. MARIANNE PRIDGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1281 NW 18TH ST, HOMESTEAD, FL 33030-2928
(305) 498-8923
Mailing address
1281 NW 18TH ST, HOMESTEAD, FL 33030-2928
(305) 498-8923
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11000418
FL
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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