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NPI Code Detail

MEDICARE: BRONWYN CAREY HERSHEY APRN PMHNP-BC

MEDICARE:   BRONWYN CAREY HERSHEY  APRN PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11012395FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22019080344OTHERPSYCHIATRIC - MENTAL HEALTH NURSE PRACTITIONER
3APRN11012395OTHERFLAPRN LICENSE

General Provider Information

NPI Number : 1205105764
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRONWYN CAREY HERSHEY APRN PMHNP-BC
Provider Business Mailing Address
First Line : 118 W ORANGE ST
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-2537
Country : US
Telephone Number : 800-457-4573
Fax Number : 800-443-6422
Provider Business Practice Location Address
First Line : 118 W ORANGE ST
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-2537
Country : US
Telephone Number : 800-457-4573
Fax Number : 407-476-1213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2011
Last Update Date : 08/06/2022

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Directions to “ BRONWYN CAREY HERSHEY APRN PMHNP-BC” Practice Location

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