BRENNA MARIE MISTRETTA


Address: 12902 Usf Magnolia Dr, Tampa, FL 33612-9416
Phone: 8137458000

BRENNA MARIE MISTRETTA (NPI# 1104461128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104461128
Entity Type Individual
Full Name BRENNA MARIE MISTRETTA
Credential FNP-C, APRN
Practice Address 12902 Usf Magnolia Dr
Tampa
FL 33612-9416
Mailing Address 6343 Birmingham Ave
Zephyrhills
FL 33542-4886
Practice Telephone 8137458000
Mailing Telephone 8133127050
Enumeration Date 2019-11-13
Last Update Date 2019-12-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WX0200X Registered Nurse
Specialization: Oncology
RN9433289 FL Nursing Service Providers
Y 363L00000X Nurse Practitioner APRN11005482 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12902 USF MAGNOLIA DR
City TAMPA
State FL
Zip Code 33612-9416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669475158 Jose Leonel Ochoa-bayona Internal Medicine 12902 Usf Magnolia Dr, Fob 3 Bmt, Tampa, FL 33612-9416 2005-05-27
1134735285 Edith Abraham Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-09-23
1134735442 Lindsay Garcia Dietitian, Registered 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-09-22
1972117026 Charsetta Denise Campbell Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-09-06
1083228480 Mary Thisbe Quilab Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-09-02
1336758788 Gabriella Anne Acosta Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-07-30
1861010670 Sidney Marie Resmondo Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-07-08
1912523481 Timothy Bondell Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-06-22
1891319075 Melanie Marie Fyfe Clinical Nurse Specialist 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-06-03
1780208876 Jacqueline Nicole Arrison Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689286767 Daniel Jimenez Physical Therapist 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 2020-08-19
1700426830 Taz Stacy Behavior Technician 2701 University Square Drive, Tampa, FL 33612 2020-01-07
1841853215 Eric Austen Keeler Student in an Organized Health Care Education/Training Program 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 2019-04-20
1346700242 Caitlyn Victoria Cartwright Student in an Organized Health Care Education/Training Program 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 2019-03-25
1720552953 Marijo Bilitski Student in an Organized Health Care Education/Training Program 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 2019-01-22
1790259190 Belkis Aleman Nurse Practitioner 205 E Busch Blvd, Tampa, FL 33612 2019-01-18
1811469133 Stephanie Stegner Physician Assistant 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 2018-12-27
1053889857 Alysia Heather Siegel Psychologist 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 2018-11-09
1295202489 Daisy Baby Pulinilkumkalayil Nurse Practitioner 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 2018-10-26
1649745258 Rachel Rene Shelton Specialist/Technologist Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 2018-10-10
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356953905 Mayelin Matos Nurse Practitioner 8320 W Pocahontas Ave, Tampa, FL 33615-2821 2020-08-17
1184235483 Kety Uriarte Nurse Practitioner 4100 N Tampania Ave, Tampa, FL 33607-6830 2020-08-11
1861001919 Deborah Diaz Telesford Nurse Practitioner 10709 Pleasant Knoll Dr, Tampa, FL 33647-3667 2020-07-24
1699392936 Medjine Noel Nurse Practitioner 7412 French Marigold Ave, Tampa, FL 33619-6941 2020-07-02
1407472129 Evisencia Mathurin Nurse Practitioner 9618 Oak Glade Ave, Tampa, FL 33647-2985 2020-06-18
1811518111 Ji Universal Medical Group LLC Nurse Practitioner 8903 Regents Park Dr Ste 120, Tampa, FL 33647-3083 2020-04-28
1609414135 Yaima Rodriguez Nurse Practitioner 7520 Brookhaven Ct, Tampa, FL 33634-2924 2019-12-16
1366087322 Sajani Patel Nurse Practitioner 5210 Webb Rd Fl 33615, Tampa, FL 33615-4518 2019-11-14
1518501337 Courtney Anne Sink Nurse Practitioner 10515 Villa View Cir, Tampa, FL 33647-2599 2019-11-05
1013472612 Matthew Bragg Nurse Practitioner 13019 Delwood Rd, Tampa, FL 33624-4305 2019-02-07
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Competitor

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City TAMPA
Zip Code 33612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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