Healthcare Provider Details

I. General information

NPI: 1356253272
Provider Name (Legal Business Name): DREAMA MICHELLE WEGZYN MSN,APRN,FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DREAMA MICHELLE BEDELL RN

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4202 W LINEBAUGH AVE
TAMPA FL
33624-5241
US

IV. Provider business mailing address

18644 NOBLE CASPIAN DR
LUTZ FL
33558-2882
US

V. Phone/Fax

Practice location:
  • Phone: 813-773-3068
  • Fax:
Mailing address:
  • Phone: 727-430-4163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11051384
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9207633
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: