Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP9212929 | FL |
NPI | 1013968189 |
---|---|
Provider Name | Brenda Dunlap |
First Address | St Petersburg, FL 33710-6625 |
Second Address | St Petersburg, FL 33710-6625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 12/06/2017 |