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NPI Code Detail

MEDICARE: MS. MICHELLE DANIELLE ALLEN

MEDICARE: MS. MICHELLE DANIELLE ALLEN
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
1172V00000XCommunity Health WorkerOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215610431
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE DANIELLE ALLEN
Provider Business Mailing Address
First Line : 3825 EDWARDS RD STE 103
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-1262
Country : US
Telephone Number : 859-445-6201
Fax Number :
Provider Business Practice Location Address
First Line : 3825 EDWARDS RD STE 103
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-1262
Country : US
Telephone Number : 859-445-6201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2023
Last Update Date : 08/14/2023

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Directions to “ MS. MICHELLE DANIELLE ALLEN ” Practice Location

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