Provider Demographics
NPI:1578874095
Name:BURRELL, D'ARTHANA LORENZO (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:D'ARTHANA
Middle Name:LORENZO
Last Name:BURRELL
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8701 W MCNAB RD APT 201
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-3257
Mailing Address - Country:US
Mailing Address - Phone:954-560-1703
Mailing Address - Fax:954-800-7911
Practice Address - Street 1:5840 RED BUG LAKE RD # 1703
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5011
Practice Address - Country:US
Practice Address - Phone:954-205-3731
Practice Address - Fax:954-800-7911
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11030850363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health