Provider Demographics
NPI:1578874095
Name:BURRELL, D'ARTHANA LORENZO (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:D'ARTHANA
Middle Name:LORENZO
Last Name:BURRELL
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3275 W HILLSBORO BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-9476
Mailing Address - Country:US
Mailing Address - Phone:954-560-1703
Mailing Address - Fax:561-846-0367
Practice Address - Street 1:3275 W HILLSBORO BLVD STE 206
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-9476
Practice Address - Country:US
Practice Address - Phone:954-560-1703
Practice Address - Fax:561-846-0367
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA #58739225700000X
FLAPRN11030850363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist