Provider Demographics
NPI:1528866688
Name:GREENQUIST, DAHLIA (DNP)
Entity type:Individual
Prefix:DR
First Name:DAHLIA
Middle Name:
Last Name:GREENQUIST
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 JAKE ST UNIT 208
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-5908
Mailing Address - Country:US
Mailing Address - Phone:678-488-1166
Mailing Address - Fax:
Practice Address - Street 1:1700 JAKE ST UNIT 208
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-5908
Practice Address - Country:US
Practice Address - Phone:678-488-1166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11037975363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner