MEDICARE: BRITTANY DALY FNP-C

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
1	163W00000X	Registered Nurse	28213851A	IN
2	163W00000X	Registered Nurse	RN9451673	FL
3	363LF0000X	Family Nurse Practitioner	APRN11031051	FL

General Provider Information

NPI Number	:	1093255697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY DALY FNP-C

Provider Business Mailing Address
First Line	:	3301 W GANDY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-2931
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5504 GATEWAY BLVD
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-1900
Country	:	US
Telephone Number	:	813-925-1903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2017
Last Update Date	:	02/22/2024

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