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NPI Code Detail

MEDICARE: MARIBETH ALLEN APRN

MEDICARE:   MARIBETH  ALLEN  APRN
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 PractitionerAPRN9266433FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1APRN9266433OTHERFLAPRN LICENSE
2V366WOTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144679176
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIBETH ALLEN APRN
Provider Business Mailing Address
First Line : 2995 DREW ST
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-532-0002
Fax Number :
Provider Business Practice Location Address
First Line : 3003 W DR MARTIN LUTHER KING JR BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33607-6307
Country : US
Telephone Number : 813-870-4421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2016
Last Update Date : 03/03/2026

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Directions to “ MARIBETH ALLEN APRN” Practice Location

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