| Alicia Diane Tenn, PNP-BC | |
|
1840 Mease Dr, Safety Harbor, FL 34695-6602 | |
| (813) 870-4948 | |
| (813) 554-8044 |
| Full Name | Alicia Diane Tenn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1840 Mease Dr, Safety Harbor, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518115740 | NPI | - | NPPES |
| 000488700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | ARNP9189682 (Florida) | Primary |
| Entity Name | Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780787382 PECOS PAC ID: 3476593534 Enrollment ID: O20050509000160 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Diane Tenn, PNP-BC 2901 58th Ave N., St. Petersburg, FL 33714-1326 Ph: (727) 822-4300 | Alicia Diane Tenn, PNP-BC 1840 Mease Dr, Safety Harbor, FL 34695-6602 Ph: (813) 870-4948 |
Gillian Leeder, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1840 Mease Dr Ste 300, Safety Harbor, FL 34695 Phone: 727-785-6011 Fax: 877-331-6124 | |
Danielle Konrad, APRN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1840 Mease Dr Ste 402, Safety Harbor, FL 34695 Phone: 727-330-7652 | |
Lena Marie Willis, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 915 Harbor Hill Dr, Safety Harbor, FL 34695 Phone: 727-902-0205 | |
Charlotte Louise Von Holleben, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-725-6863 Fax: 727-725-6734 | |
Stephanos Nicholas Tsongranis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-487-4189 | |
Lisa Marie Lauderdale, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1840 Mease Dr, Suite 402, Safety Harbor, FL 34695 Phone: 727-330-7652 | |
Staci Nicole Rosen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1840 Mease Dr Ste 202, Safety Harbor, FL 34695 Phone: 727-725-6246 |