Provider Demographics
NPI:1972534709
Name:BRIAR, TAMBERLY LYNN (ARNP)
Entity type:Individual
Prefix:MISS
First Name:TAMBERLY
Middle Name:LYNN
Last Name:BRIAR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:TAMMY
Other - Middle Name:LYNN
Other - Last Name:BRIAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C
Mailing Address - Street 1:4525 SW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-3901
Mailing Address - Country:US
Mailing Address - Phone:352-377-8619
Mailing Address - Fax:352-371-9674
Practice Address - Street 1:4525 SW 13TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-3901
Practice Address - Country:US
Practice Address - Phone:352-377-8619
Practice Address - Fax:352-371-9674
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1942732363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY0201YMedicare PIN
Y0201ZMedicare PIN