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NPI Code Detail

MEDICARE: MARIAN ALLEN FNP-C

MEDICARE: MARIAN ALLEN FNP-C
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 PractitionerRN305515GA

General Provider Information

NPI Number : 1578229555
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAN ALLEN FNP-C
Provider Business Mailing Address
First Line : 650 PONCE DE LEON AVE NE STE 300
Second Line : #1844
City : ATLANTA
State : GA
Zip : 30308-1864
Country : US
Telephone Number : 404-508-8058
Fax Number : 404-868-9112
Provider Business Practice Location Address
First Line : 650 PONCE DE LEON AVE NE STE 300
Second Line : #1844
City : ATLANTA
State : GA
Zip : 30308-1864
Country : US
Telephone Number : 404-508-8058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2021
Last Update Date : 08/06/2025

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Directions to “ MARIAN ALLEN FNP-C” Practice Location

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