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NPI Code Detail

MEDICARE: MS. KAREN L ALLEN RN/CNM

MEDICARE: MS. KAREN L ALLEN RN/CNM
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
1363LX0001XObstetrics & Gynecology Nurse PractitionerRN041111AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
161981284OTHERFEDERAL CONTRACTOR TPIN

General Provider Information

NPI Number : 1811993603
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN L ALLEN RN/CNM
Provider Business Mailing Address
First Line : 22602 N 42ND PL
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-8720
Country : US
Telephone Number : 480-473-7180
Fax Number : 480-473-7180
Provider Business Practice Location Address
First Line : 4212 N 16TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-5319
Country : US
Telephone Number : 602-263-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2005
Last Update Date : 07/08/2007

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