| Doctor Name: | JOSHUA DAHLEN |
| NPI Number: | 1154711786 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN |
| License Number: | AP08114 |
| Business Practice Address: | 5360 W Creole Hwy Cameron, LA - 706315127 |
| Business Phone Number: | 3375424111 |
| Business Fax Number: | |
| Mailing Address: | 5360 W Creole Hwy, CAMERON |
| State: | LA |
| Postal Code: | 706315127 |
| Phone Number: | 3375424111 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2015 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP08114 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |