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NPI Code Detail

MEDICARE: ELIZABETH ALLEN CRNP

MEDICARE: ELIZABETH ALLEN CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerNP1059210DC

General Provider Information

NPI Number : 1013653849
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ALLEN CRNP
Provider Business Mailing Address
First Line : 4452 MACARTHUR BLVD NW UNIT 1/2
Second Line :
City : WASHINGTON
State : DC
Zip : 20007-2516
Country : US
Telephone Number : 703-338-8067
Fax Number :
Provider Business Practice Location Address
First Line : 3800 RESERVOIR RD NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20007-2113
Country : US
Telephone Number : 202-444-8595
Fax Number : 202-444-1923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2022
Last Update Date : 03/18/2026

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