Provider Demographics
NPI:1205266442
Name:DHILLON, SUNITA (APRN)
Entity type:Individual
Prefix:
First Name:SUNITA
Middle Name:
Last Name:DHILLON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 NE 19TH DR
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-1933
Mailing Address - Country:US
Mailing Address - Phone:863-467-8398
Mailing Address - Fax:863-467-9850
Practice Address - Street 1:255 NE 19TH DR
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-1933
Practice Address - Country:US
Practice Address - Phone:863-467-8398
Practice Address - Fax:863-467-9850
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9346493363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty