=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366313769
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRITTANY NICHOLE HURST APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/17/2025
-----------------------------------------------------
Last Update Date | 01/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1305 CLEVELAND AVE STE G
-----------------------------------------------------
City | WILDWOOD
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34785-3605
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-913-2145
-----------------------------------------------------
Fax | 352-913-2146
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 601 S HARBOUR ISLAND BLVD STE 200
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33602-5925
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-322-3439
-----------------------------------------------------
Fax | 800-928-7449
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 11040527
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------