Individual
TEHJAN PRENDIVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12550 NEW BRITTANY BLVD, SUITE 200, FORT MYERS, FL 33907-3655
(239) 936-1114
(239) 936-5968
Mailing address
12550 NEW BRITTANY BLVD, SUITE 200, FORT MYERS, FL 33907-3655
(239) 936-1114
(239) 936-5968
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9273046
FL
Other
Enumeration date
06/09/2009
Last updated
12/03/2009
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