Individual provider · Type 1 NPI

Teresa K. Mahan-Etheridge, APRN

Neonatal Nurse Practitioner · Tampa, FL

NPI number 1699070433 Active

Practice location

3100 E Fletcher Ave
Tampa, FL 33613-4613

Fax (813) 467-4243

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000XAPRN9208090 (FL)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1699070433

Teresa K. Mahan-Etheridge, APRN's National Provider Identifier is 1699070433, issued on Jan 25, 2011. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Tampa, FL. The record was last updated on May 23, 2025.