# PRANA WELLNESS, LLC

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

## Provider details

- **NPI number:** 1780311407
- **Authorized official:** TABITHA STARR GENNARA APRN (CEO)
- **Authorized official phone:** (813) 592-4275

## Contact information

- **Practice address:** 14502 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2040
- **Practice address phone:** (813) 592-4275
- **Mailing address:** 14502 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2040

## 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:** 08/03/2022
- **Last updated:** 05/24/2026