Individual provider · NPI-1

Phuong Diep Bradford, APRN

Nurse Practitioner, Family · Tampa, FL

NPI number1982203915
StatusActive
Last updated in NPPESMar 15, 2022

Details

NPI
1982203915
Entity type
Individual (NPI-1)
Name
Phuong Diep Bradford
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 21, 2020
Certification date
Mar 15, 2022
Last updated
Mar 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN11007879FLYes
207K00000X Allergy & ImmunologyAPRN11007879FL

Practice location

4543 S Manhattan Ave Ste 101
Tampa, FL 33611-2330

Phone 813-544-8100

Mailing address

4543 S Manhattan Ave Ste 101
Tampa, FL 33611-2330

Other practice locations

6233 66th St N
Pinellas Park, FL 33781-5025

Phone 727-544-8100 · Fax 727-544-8200

1823 Health Care Dr Bldg 5
New Port Richey, FL 34655-5363

Phone 727-544-8100 · Fax 727-544-8200

2323 Curlew Rd Ste 6d
Dunedin, FL 34698-9307

Phone 727-544-8100 · Fax 727-544-8200

2 Tampa General Cir
Tampa, FL 33606-3571

Phone 813-821-8038 · Fax 813-974-4325

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Tampa, FL