Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 19281 | SC |
Y | 363LW0102X | Nurse Practitioner - Women's Health | ARNP3294442 | FL |
NPI | 1013257583 |
---|---|
Provider Name | Ms. Barbara Joeann Allen |
First Address | Winter Garden, FL 34787-3546 |
Second Address | Apopka, FL 32703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2013 |
Last Update Date | 03/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009410900 | (05) | FL |