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Individual

BETHANY H ALLEN

Active
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Individual

BETHANY H ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2313481
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
4804
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP 4804
MN

Other

Enumeration date
09/20/2016
Last updated
05/05/2026
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