Provider Demographics
NPI:1942482880
Name:TRUELOVE, BRIAN L (MSN, ARNP)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:L
Last Name:TRUELOVE
Suffix:
Gender:M
Credentials:MSN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4746 OLD FARM RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3943
Mailing Address - Country:US
Mailing Address - Phone:941-400-1287
Mailing Address - Fax:941-923-4789
Practice Address - Street 1:4746 OLD FARM RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-3943
Practice Address - Country:US
Practice Address - Phone:941-400-1287
Practice Address - Fax:941-923-4789
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9203742163W00000X
FLRN 9203742163WR0006X
FLARNP9203742363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY116YOtherBLUE CROSS BLUE SHIELD