Individual
BRANDY DOMINIQUE MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP FNP-C
Contact information
Practice address
13007 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 629-5534
Mailing address
13039 PENNYBROOK DR, RIVERVIEW, FL 33579-9389
(813) 728-7950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 9341338
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020984700
—
FL
01
—
IZ446Z
MEDICARE
FL
Enumeration date
01/31/2017
Last updated
09/12/2023
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