Provider Demographics
NPI:1083103907
Name:BRYNER, WHITNEY DEEANN (APRN, CNM)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:DEEANN
Last Name:BRYNER
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9400 COUNTY ROAD 603
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-2128
Mailing Address - Country:US
Mailing Address - Phone:817-308-2656
Mailing Address - Fax:
Practice Address - Street 1:2302 LONE STAR RD STE 200
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-8751
Practice Address - Country:US
Practice Address - Phone:682-268-6707
Practice Address - Fax:682-268-6708
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135651367A00000X, 207V00000X
TX849423163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient