MEDICARE: D'ARTHANA LORENZO BURRELL PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11030850	FL

General Provider Information

NPI Number	:	1578874095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	D'ARTHANA LORENZO BURRELL PMHNP-BC

Provider Business Mailing Address
First Line	:	8701 W MCNAB RD APT 201
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-3257
Country	:	US
Telephone Number	:	954-560-1703
Fax Number	:	954-800-7911

Provider Business Practice Location Address
First Line	:	5840 RED BUG LAKE RD # 1703
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5011
Country	:	US
Telephone Number	:	954-205-3731
Fax Number	:	954-800-7911

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

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	05/23/2025

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