Individual
BRENDA MERCER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1212 S WALNUT ST, FAIRMONT, NC 28340-1848
(910) 628-6711
(910) 628-5735
Mailing address
60 COMMERCE PLZ, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0002-00860
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2591371G
MEDICARE PTAN
NC
05
—
7005124
—
NC
Enumeration date
06/14/2005
Last updated
04/06/2016
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