MEDICARE: CARMEN ANDREEA HOISAN APRN, FNP-BC, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN11039946	FL

General Provider Information

NPI Number	:	1023902517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN ANDREEA HOISAN APRN, FNP-BC, FNP-C

Provider Business Mailing Address
First Line	:	3854 SHERIDAN ST STE A
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3630
Country	:	US
Telephone Number	:	954-966-3018
Fax Number	:	954-966-5249

Provider Business Practice Location Address
First Line	:	3854 SHERIDAN ST STE A
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3630
Country	:	US
Telephone Number	:	954-966-3018
Fax Number	:	954-966-5249

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2025
Last Update Date	:	12/16/2025

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