Provider Demographics
NPI:1164516449
Name:BRYANT-BARNETT, PAULA JOANETTE (APRN)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:JOANETTE
Last Name:BRYANT-BARNETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14710 BRUCE B DOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-2800
Mailing Address - Country:US
Mailing Address - Phone:813-684-2229
Mailing Address - Fax:813-816-0327
Practice Address - Street 1:14710 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-2800
Practice Address - Country:US
Practice Address - Phone:813-684-2229
Practice Address - Fax:813-816-0327
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9312569363LW0102X, 363LX0001X
DCRN64632363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ56082Medicare UPIN