MEDICARE: WHITNEY MINOR APRN

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	363L00000X	Nurse Practitioner	APRN11040548	FL

General Provider Information

NPI Number	:	1508757303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY MINOR APRN

Provider Business Mailing Address
First Line	:	1355 PROVIDENCE RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-4885
Country	:	US
Telephone Number	:	813-651-4441
Fax Number	:

Provider Business Practice Location Address
First Line	:	1355 PROVIDENCE RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-4885
Country	:	US
Telephone Number	:	813-651-4441
Fax Number	:

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

Provider Enumeration Date	:	07/10/2025
Last Update Date	:	02/16/2026

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Directions to “ WHITNEY MINOR APRN” Practice Location

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