Individual
MYRNA ISABEL DE JESUS FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4001 E FLETCHER AVE, TAMPA, FL 33613-4808
(813) 866-1600
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 1228182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014145000
—
FL
01
—
Y4824
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/07/2007
Last updated
03/31/2021
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