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NPI Code Detail

MEDICARE: WHITNEY DEEANN BRYNER APRN, CNM

MEDICARE: WHITNEY DEEANN BRYNER APRN, CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeAP135651TX
2207V00000XObstetrics & Gynecology PhysicianAP135651TX
3163WX0003XInpatient Obstetric Registered Nurse849423TX

General Provider Information

NPI Number : 1083103907
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY DEEANN BRYNER APRN, CNM
Provider Business Mailing Address
First Line : 9400 COUNTY ROAD 603
Second Line :
City : BURLESON
State : TX
Zip : 76028-2128
Country : US
Telephone Number : 817-308-2656
Fax Number :
Provider Business Practice Location Address
First Line : 2302 LONE STAR RD STE 200
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-8751
Country : US
Telephone Number : 682-268-6707
Fax Number : 682-268-6708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2018
Last Update Date : 08/29/2025

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