Individual
SHEILA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4431 STOUT RD, MIDLOTHIAN, TX 76065-5761
(850) 697-2019
Mailing address
4431 STOUT RD, MIDLOTHIAN, TX 76065-5761
(850) 697-2019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 2993892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003148700
—
FL
01
—
AD121Y
MEDICARE
FL
Enumeration date
10/12/2006
Last updated
07/18/2014
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