Individual
RAYMOND WILLIAM ALLEN
Active
Individual
RAYMOND WILLIAM ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, MSN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5149296-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992004001
PARAMEDIC
UT
01
—
5149296-3102
REGISTERED NURSE
UT
01
—
5149296-4405
APRN
UT
01
—
5149296-8900
APRN WITH CONTROLLED SUBSTANCES
UT
Enumeration date
06/29/2018
Last updated
07/08/2022
Update your record
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