| NPI | 1316405905 |
|---|---|
| Former Name | ANDREA MARIE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5011544) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC ALLE-FVSF53) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5011544) | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2022-08-07 |