Active NPI
Wanda Marie Bryant, ARNP
- Gerontology Nurse Practitioner
- Oldsmar, FL
National Provider Identifier
1598810947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- ARNP 2995732
- Practice address
- 601 Brooker Creek Blvd
Oldsmar, FL 34677-2962 - Phone
- (813) 294-9031
- NPI assigned
- Jan 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | ARNP 2995732 | FL | Primary |
Addresses
Primary practice location
601 Brooker Creek Blvd
Oldsmar, FL 34677-2962
Mailing address
4802 Charro LN
Plant City, FL 33565-3610
Phone (813) 982-0999
Other names 1
- Wanda Marie Blanchard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2995732 | FL | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598810947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 CHARRO LN",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335653610",
"telephone_number": "813-982-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BROOKER CREEK BLVD",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346772962",
"telephone_number": "813-294-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "WANDA",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "ARNP 2995732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WANDA",
"last_name": "BLANCHARD",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oldsmar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.