Individual
BRIDGET BRENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9811 MONTAGUE ST, TAMPA, FL 33626-1863
(727) 804-4521
Mailing address
9811 MONTAGUE ST, TAMPA, FL 33626-1863
(727) 804-4521
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 9219165
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP 9219165
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP 9219165
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP 9219165
FL
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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