IndividualActive
Annalisa Tietjen
NPI 1932506227 · Dental Hygienist · Fort Pierce, FL
Provider details
- NPI number
- 1932506227
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DH17092 (FL)
Specialties & taxonomies
Dental Providers
Practice location
714 Ave C
Fort Pierce, FL 32909
Phone: (772) 462-3800
Fax: (772) 462-3801
Approximate (ZIP-level) locationGet directions
Mailing address
5150 Nw Milner Dr
Port Saint Lucie, FL 34983-3392
Registry dates
- Enumerated
- 2014-12-02
- Last updated
- 2014-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.