Individual
BLANDINE DEENA THERNELUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, FNP-BC
Contact information
Practice address
128 E BRANDON BLVD, BRANDON, FL 33511-5219
(813) 915-5459
Mailing address
128 E BRANDON BLVD, BRANDON, FL 33511-5219
(813) 915-5459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26380
TN
363LF0000X
Family Nurse Practitioner
Primary
APRN9364601
FL
363LF0000X
Family Nurse Practitioner
ARNP9364601
FL
Other
Enumeration date
05/25/2018
Last updated
06/21/2023
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