Most Relevant Information
Provider Data
| NPI Number: | 1003584699 |
| Provider Name: | ARIELLE TANGO FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN11011884 |
Most Important Dates
| Enumeration Date: | 08/31/2021 |
| Last Updated: | 08/31/2021 |
Provider Practice Location
2504 ACORN ST STE A
FORT PIERCE
FL
349474746
Practice Location Phone/Fax
| Phone: | 7728377800 |
| Fax: | 7728377801 |
Provider Mailing Location
2504 ACORN ST STE A
FORT PIERCE
FL
349474746
Provider Mailing Phone/Fax
| Phone: | 7728377800 |
| Fax: | 7728377801 |