MEDICARE: EVALYNN MARTINA 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
1	342000000X	Transportation Network Company		WI

General Provider Information

NPI Number	:	1356109532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVALYNN MARTINA ALLEN

Provider Business Mailing Address
First Line	:	9118 N 94TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53224-1705
Country	:	US
Telephone Number	:	414-429-4389
Fax Number	:

Provider Business Practice Location Address
First Line	:	9118 N 94TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53224-1705
Country	:	US
Telephone Number	:	414-429-4389
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2024
Last Update Date	:	03/12/2024

Similar Medicare Providers

1720344237 — FAMILYLIVINGLLC
Practice Location Address:

9120 N 94TH ST
MILWAUKEE, WI
53224-1705

Practice Phone: 414-354-7004
Practice Fax:

1437116357 — LEE M GRUENWALD MD
Practice Location Address:

4065 N 35TH ST
MILWAUKEE, WI
53216-1705

Practice Phone: 414-445-9180
Practice Fax: 414-445-5995

1205987187 — BELL THERAPY, INC.
Practice Location Address:

4065 N 35TH ST
MILWAUKEE, WI
53216-1705

Practice Phone: 414-445-9180
Practice Fax: 414-445-5995

1619147048 — WILLOWGLEN ACADEMY INC
Practice Location Address:

4065 N 35TH ST , SUITE N100
MILWAUKEE, WI
53216-1705

Practice Phone: 414-445-9180
Practice Fax: 414-445-5995

1952609240 — MS. SHANNA LI MALONEY CSW
Practice Location Address:

4065 N 35TH ST
MILWAUKEE, WI
53216-1705

Practice Phone: 414-445-9180
Practice Fax: 414-445-5995

1811240674 — REBECCA LYNN CRUM KOPPES LCSW
Practice Location Address:

4065 N 35TH ST
MILWAUKEE, WI
53216-1705

Practice Phone: 414-445-9180
Practice Fax:

Directions to “ EVALYNN MARTINA ALLEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.