Healthcare Provider Details

I. General information

NPI: 1003576604
Provider Name (Legal Business Name): BRITTANY CEDARBURG APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2021
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 S KANNER HWY
STUART FL
34994-4801
US

IV. Provider business mailing address

3801 S KANNER HWY
STUART FL
34994-4801
US

V. Phone/Fax

Practice location:
  • Phone: 813-362-1385
  • Fax:
Mailing address:
  • Phone: 772-223-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11014789
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: