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Organization

AMENITY HEALTHCARE

Active
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Organization

AMENITY HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHRISTINA C BRADDY FNP-C, PMHNP-BC (NURSE PRACTITIONER)
(813) 773-1932
Entity
Organization

Contact information

Practice address
30 E BROADWAY STE 2031149, SALT LAKE CITY, UT 84111-2227
(813) 773-1932
(813) 537-8735
Mailing address
7901 4TH ST N # 18547, ST PETERSBURG, FL 33702-4305
(813) 773-1932
(813) 537-8735

Taxonomy

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

Other

Enumeration date
09/14/2026
Last updated
09/14/2026
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