Healthcare Provider Details

I. General information

NPI: 1881180503
Provider Name (Legal Business Name): BRITTANY LYNN MAYNARD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 N ORANGE AVE STE 601
ORLANDO FL
32804-5558
US

IV. Provider business mailing address

2415 N ORANGE AVE STE 601
ORLANDO FL
32804-5558
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-2070
  • Fax:
Mailing address:
  • Phone: 407-303-2070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN9341147
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9341147
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: