Individual provider · Type 1 NPI
Mariah Tienna Prevatte, APRN
Pediatric Critical Care Medicine Physician · Lakeland, FL
Practice location
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Mailing address
1850 Saddlewood Pl
Bartow, FL 33830-2917
Other practice locations
- 6535 Nemours Pkwy, Orlando, FL 32827-7884 · (407) 650-7715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN9423564 (FL) |
| Pediatric Critical Care Medicine Physician Primary | 2080P0203X | APRN11035770 (FL) |
Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…
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About NPI 1750120705
Mariah Tienna Prevatte, APRN's National Provider Identifier is 1750120705, issued on May 20, 2024. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Lakeland, FL. The record was last updated on Feb 9, 2025.