# OLIPHANT HOLISTIC HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245103795
- **Authorized official:** THRAESE BROWN NP (AR)
- **Authorized official phone:** (813) 679-6592

## Contact information

- **Practice address:** 220 W BRANDON BLVD STE 204, BRANDON, FL 33511-5100
- **Practice address phone:** (813) 203-7399
- **Mailing address:** 11214 E DR MLK JR BLVD, STE 101, SEFFNER, FL 33584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2025
- **Last updated:** 09/29/2025