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NPI Code Detail

MEDICARE: MRS. ANNA K ALLEN ARNP

MEDICARE: MRS. ANNA K ALLEN ARNP
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
1363LP2300XPrimary Care Nurse PractitionerARNP1735792FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00179739OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2Y046SOTHERFLBC/BS FLA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508869330
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNA K ALLEN ARNP
Provider Business Mailing Address
First Line : 605 LAMAR AVE
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34601-3211
Country : US
Telephone Number : 352-799-5411
Fax Number :
Provider Business Practice Location Address
First Line : 605 LAMAR AVE
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34601-3211
Country : US
Telephone Number : 352-799-5411
Fax Number : 352-544-2713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/21/2008

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Directions to “ MRS. ANNA K ALLEN ARNP” Practice Location

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