Healthcare Provider Details
I. General information
NPI: 1720394075
Provider Name (Legal Business Name): AVRIL LEXENE DHANA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/25/2010
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11063 COUNTY LINE RD
SPRING HILL FL
34609-5696
US
IV. Provider business mailing address
PO BOX 102222
ATLANTA GA
30368-2222
US
V. Phone/Fax
- Phone: 352-688-7744
- Fax: 352-688-8822
- Phone: 239-274-8200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN3153902 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: