Healthcare Provider Details

I. General information

NPI: 1013709278
Provider Name (Legal Business Name): DANIA LETICIA LLANA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18252 NW 20TH ST
PEMBROKE PINES FL
33029-3706
US

IV. Provider business mailing address

18252 NW 20TH ST
PEMBROKE PINES FL
33029-3706
US

V. Phone/Fax

Practice location:
  • Phone: 786-873-8158
  • Fax:
Mailing address:
  • Phone: 786-873-8158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11036074
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: