Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN1372602 | FL |
N | 363L00000X | Nurse Practitioner | ARNP1372602 | FL |
N | 363LA2100X | Nurse Practitioner - Acute Care | APRN1372602 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 18636 | SC |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APRN1372602 | FL |
NPI | 1043593197 |
---|---|
Provider Name | Mrs. Allison Louise Mcnamara |
First Address | Deland, FL 32724-7996 |
Second Address | Daytona Beach, FL 32117-5167 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2011 |
Last Update Date | 01/07/2020 |