Healthcare Provider Details

I. General information

NPI: 1639691728
Provider Name (Legal Business Name): BRITTANY TENORIO ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 ROBERTS AVE
TALLAHASSEE FL
32310-5007
US

IV. Provider business mailing address

2596 CRICKET RD
TALLAHASSEE FL
32310-9363
US

V. Phone/Fax

Practice location:
  • Phone: 850-644-1543
  • Fax: 855-230-7421
Mailing address:
  • Phone: 850-591-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9326697
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9326697
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: