# AMENITY HEALTHCARE

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

## Provider details

- **NPI number:** 1659282473
- **Authorized official:** MS. CHRISTINA C BRADDY FNP-C, PMHNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (813) 773-1932

## Contact information

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

## 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:** 09/14/2026
- **Last updated:** 09/14/2026