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Individual
DR. GARY LOUIS ALLAN
Active
Individual
DR. GARY LOUIS ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
28079761A
IN
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN-81594
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71003143A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-02670
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009010896
ANCC - PSYCHIATRIC MENTAL HEALTH (ADULT) NURSE PRACTITIONER, BOARD CERTIFIED
NM
01
—
2010012463
ANCC-PSYCHIATRIC MENTAL HEALTH (LIFESPAN) NURSE PRACTITIONER, BOARD CERTIFIED
NM
Enumeration date
12/11/2009
Last updated
06/25/2015
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