Healthcare Provider Details

I. General information

NPI: 1235992157
Provider Name (Legal Business Name): TRISHA E. STAFNE MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13692 W HILLSBOROUGH AVE
TAMPA FL
33635-9638
US

IV. Provider business mailing address

13692 W HILLSBOROUGH AVE
TAMPA FL
33635-9638
US

V. Phone/Fax

Practice location:
  • Phone: 813-252-2375
  • Fax: 813-324-5680
Mailing address:
  • Phone: 813-252-2375
  • Fax: 813-324-5680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11030225
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: