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NPI Code Detail

MEDICARE: LAURA ALLEN NP

MEDICARE: LAURA ALLEN NP
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
1363LF0000XFamily Nurse Practitioner3010476KY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner3010476KY

General Provider Information

NPI Number : 1134672348
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ALLEN NP
Provider Business Mailing Address
First Line : 1615 BEECH ST
Second Line :
City : FLATWOODS
State : KY
Zip : 41139-1370
Country : US
Telephone Number : 606-571-9653
Fax Number :
Provider Business Practice Location Address
First Line : 1220 GREENUP AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7525
Country : US
Telephone Number : 606-393-1649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2016
Last Update Date : 02/03/2026

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