MEDICARE: NATALIE ALLEN DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	0103301231	VA

Other Identifiers

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

General Provider Information

NPI Number	:	1912391293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE ALLEN DPM

Provider Business Mailing Address
First Line	:	60 SUMMERFIELD CT STE 102
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24019-4579
Country	:	US
Telephone Number	:	540-904-1458
Fax Number	:	561-548-1743

Provider Business Practice Location Address
First Line	:	60 SUMMERFIELD CT STE 102
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24019-4579
Country	:	US
Telephone Number	:	540-904-1458
Fax Number	:	561-548-1743

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

Provider Enumeration Date	:	03/24/2015
Last Update Date	:	07/13/2021

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