Individual
HOLLY BRIANNA VANDOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4522 W VILLAGE DR UNIT 1533, TAMPA, FL 33624-3429
(813) 590-3260
Mailing address
4522 W VILLAGE DR UNIT 1533, TAMPA, FL 33624-3429
(813) 590-3260
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9494058
FL
163WC0400X
Case Management Registered Nurse
RN9494058
FL
163WG0000X
General Practice Registered Nurse
RN9494058
FL
163WH0200X
Home Health Registered Nurse
Primary
RN9494058
FL
171M00000X
Case Manager/Care Coordinator
RN9494058
FL
Other
Enumeration date
01/20/2020
Last updated
04/20/2026
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