Healthcare Provider Details

I. General information

NPI: 1568373538
Provider Name (Legal Business Name): DAHANA LOUIS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9281 NW 57TH ST
TAMARAC FL
33351-4342
US

IV. Provider business mailing address

9281 NW 57TH ST APT 204
TAMARAC FL
33351-4375
US

V. Phone/Fax

Practice location:
  • Phone: 954-759-1137
  • Fax:
Mailing address:
  • Phone: 954-759-1137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11050904
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: