Healthcare Provider Details

I. General information

NPI: 1841685237
Provider Name (Legal Business Name): TARYN HASELHUHN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 POINTE WEST BLVD
BRADENTON FL
34209-5531
US

IV. Provider business mailing address

6010 POINTE WEST BLVD
BRADENTON FL
34209-5531
US

V. Phone/Fax

Practice location:
  • Phone: 941-746-2711
  • Fax: 941-746-3433
Mailing address:
  • Phone: 941-746-2711
  • Fax: 941-746-3433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11027043
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN9649426
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: