Healthcare Provider Details

I. General information

NPI: 1659275162
Provider Name (Legal Business Name): BARBARA ANN VANCATTENBURCH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

7050 GALL BLVD
ZEPHYRHILLS FL
33541-1347
US

IV. Provider business mailing address

5830 ESTES LN
WESLEY CHAPEL FL
33545-4329
US

V. Phone/Fax

Practice location:
  • Phone: 813-779-1209
  • Fax:
Mailing address:
  • Phone: 813-779-6450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11051387
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: