MEDICARE: LINDA BWANA PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NONE	FL

General Provider Information

NPI Number	:	1306719117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA BWANA PMHNP

Provider Business Mailing Address
First Line	:	25403 SADDLEHORN WAY
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34639-9011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6936 MEDICAL VIEW LN
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-6602
Country	:	US
Telephone Number	:	813-999-1516
Fax Number	:	813-441-8519

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	06/15/2026

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