Individual
MARIANNA EVELYN PRETULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1005 GROVE RD, GREENVILLE, SC 29605-4630
(864) 455-6900
(864) 255-5619
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4155
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1677
—
SC
Enumeration date
06/10/2010
Last updated
05/13/2021
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