National Provider Identifier Database

AMANDA L ALLEN, CRNP – NPI #1932460680
Family


Contact Information

AMANDA L ALLEN, CRNP
201 D'OLIVE STREET
BAY MINETTE, AL36507
Phone: 251-706-8700
Fax:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for AMANDA L ALLEN

NPI Number 1932460680
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 05/30/2012
Last updated 02/28/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • AL License #: 1-107384
  • AL Medicaid: 630000013
  • AL Other: 011846 MEDICARE GROUP PAYEE NUMBER
  • AL Other: 1063439065 NPI SITE GROUP PAYEE NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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