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NPI Code Detail

MEDICARE: ANDREA L ALLEN RN

MEDICARE:   ANDREA L ALLEN  RN
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
1163WA2000XAdministrator Registered Nurse648547CA
2163WI0500XInfusion Therapy Registered Nurse648547CA
3163WL0100XLactation Consultant (Registered Nurse)648547CA
4163WM0102XMaternal Newborn Registered Nurse648547CA
5163WN0003XLow-Risk Neonatal Registered Nurse648547CA
6163WX0002XHigh-Risk Obstetric Registered Nurse648547CA
7163W00000XRegistered Nurse648547CA

General Provider Information

NPI Number : 1679100234
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA L ALLEN RN
Provider Business Mailing Address
First Line : 1631 MILL STREAM DR
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-1780
Country : US
Telephone Number : 559-572-4772
Fax Number :
Provider Business Practice Location Address
First Line : 1631 MILL STREAM DR
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-1780
Country : US
Telephone Number : 559-572-4772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 03/24/2020

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