Healthcare Provider Details

I. General information

NPI: 1023902517
Provider Name (Legal Business Name): CARMEN ANDREEA HOISAN APRN, FNP-BC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3854 SHERIDAN ST STE A
HOLLYWOOD FL
33021-3630
US

IV. Provider business mailing address

3854 SHERIDAN ST STE A
HOLLYWOOD FL
33021-3630
US

V. Phone/Fax

Practice location:
  • Phone: 954-966-3018
  • Fax: 954-966-5249
Mailing address:
  • Phone: 954-966-3018
  • Fax: 954-966-5249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11039946
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: