Individual provider · Type 1 NPI

Thea Brubaker

Psychiatric/Mental Health Nurse Practitioner · Tallahassee, FL

NPI number 1982322293 Active

Practice location

1965 Capital Cir NE Ste 102
Tallahassee, FL 32308-8402

Mailing address

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XSP031801 (PA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11020903 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1982322293

Thea Brubaker's National Provider Identifier is 1982322293, issued on Aug 22, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tallahassee, FL. The record was last updated on May 2, 2025.