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NPI Code Detail

MEDICARE: ANDREW ALLEN

MEDICARE: ANDREW 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
1363LF0000XFamily Nurse Practitioner124070WV

General Provider Information

NPI Number : 1326901182
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW ALLEN
Provider Business Mailing Address
First Line : 15 BEAR CREEK DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-4549
Country : US
Telephone Number : 304-598-4000
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEDICAL CENTER DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26506-1200
Country : US
Telephone Number : 304-598-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ ANDREW ALLEN ” Practice Location

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