Provider Demographics
NPI:1023902517
Name:HOISAN, CARMEN ANDREEA (APRN, FNP-BC, FNP-C)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:ANDREEA
Last Name:HOISAN
Suffix:
Gender:F
Credentials:APRN, FNP-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5561 SW 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5207
Mailing Address - Country:US
Mailing Address - Phone:773-230-4409
Mailing Address - Fax:
Practice Address - Street 1:5561 SW 82ND AVE
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-5207
Practice Address - Country:US
Practice Address - Phone:773-230-4409
Practice Address - Fax:773-230-4409
Is Sole Proprietor?:No
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11039946363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner