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NPI Code Detail

MEDICARE: ALONNA MICHELLE ALLEN

MEDICARE:   ALONNA MICHELLE 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
1164W00000XLicensed Practical NursePN-111853OH

General Provider Information

NPI Number : 1952606857
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALONNA MICHELLE ALLEN
Provider Business Mailing Address
First Line : 12812 DOVE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-4412
Country : US
Telephone Number : 216-798-8253
Fax Number :
Provider Business Practice Location Address
First Line : 12812 DOVE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-4412
Country : US
Telephone Number : 216-798-8253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2011
Last Update Date : 01/24/2011

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Directions to “ ALONNA MICHELLE ALLEN ” Practice Location

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