Individual
LORETTA PENTLICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
150 E SWAN ST, CENTERVILLE, TN 37033-1446
(931) 729-3091
Mailing address
300 20TH AVE N, STE 403, NASHVILLE, TN 37203-5180
(615) 390-4220
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27347
TN
Other
Enumeration date
02/21/2020
Last updated
05/06/2020
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