Individual
HARRISON DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, AGACNP-BC
Contact information
Practice address
499 EVERNIA ST APT 620, WEST PALM BEACH, FL 33401-5467
(646) 831-8415
Mailing address
499 EVERNIA ST APT 620, WEST PALM BEACH, FL 33401-5467
(646) 831-8415
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11010831
FL
363LG0600X
Gerontology Nurse Practitioner
11010831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11010831
STATE BOARD OF NURSING
FL
Enumeration date
12/29/2020
Last updated
04/20/2021
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