Provider Demographics
NPI:1346433323
Name:O'BRYANT, STEPHANIE K (APRN)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:K
Last Name:O'BRYANT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13014 N DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2808
Mailing Address - Country:US
Mailing Address - Phone:321-586-3844
Mailing Address - Fax:813-436-5294
Practice Address - Street 1:16411 OAK MANOR DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624
Practice Address - Country:US
Practice Address - Phone:321-586-3844
Practice Address - Fax:813-436-5294
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2023-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI1440099363L00000X, 363LF0000X
FL9315603363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner