Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Philip Atanmo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1376123018

Philip Atanmo is a Nurse Practitioner in Bradenton, Florida. Qualified in 2021, 5 years ago. Works from 2 locations and offers telehealth. Licensed in Florida and North Carolina.

Years since qualifying
5
Licensed in
FL, NC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2020 26th Ave E
Bradenton, FL 34208-7753
Phone: (941) 782-4600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1805 Swannanoa Dr, Greensboro, NC 27410 — (330) 604-1614

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11012815 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 5019503 (NC)

Record details

NPI number1376123018
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2021
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address1805 Swannanoa Dr, Greensboro, NC 27410-3933

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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