=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932065562
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRITANI NICOLE ROY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/29/2025
-----------------------------------------------------
Last Update Date | 12/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1700 S TAMIAMI TRL
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34239-3555
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-914-9000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4624 SANIBEL WAY
-----------------------------------------------------
City | BRADENTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34203-3149
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-917-9000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WX0002X
-----------------------------------------------------
Taxonomy Name | High-Risk Obstetric Registered Nurse
-----------------------------------------------------
License Number | RN9376767
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------