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NPI Code Detail

MEDICARE: DEANNA BETH ALLEN DNP

MEDICARE:   DEANNA BETH ALLEN  DNP
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
1163WW0101XAmbulatory Women's Health Care Registered Nurse4872351-3102UT
2367A00000XAdvanced Practice Midwife4872351-4402UT

General Provider Information

NPI Number : 1184316143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA BETH ALLEN DNP
Provider Business Mailing Address
First Line : 3212 W WINTER CREEK CIR
Second Line :
City : SOUTH JORDAN
State : UT
Zip : 84095-5967
Country : US
Telephone Number : 130-388-3732
Fax Number :
Provider Business Practice Location Address
First Line : 3212 W WINTER CREEK CIR
Second Line :
City : SOUTH JORDAN
State : UT
Zip : 84095-5967
Country : US
Telephone Number : 130-388-3732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2023
Last Update Date : 03/31/2026

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Directions to “ DEANNA BETH ALLEN DNP” Practice Location

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