Individual
MRS. KATIE ANN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,FNP-C
Contact information
Practice address
1000 GW LN, WAYNESVILLE, MO 65583-2339
(573) 842-4116
(573) 433-2008
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F10200185
MO
Other
Enumeration date
10/14/2020
Last updated
04/06/2026
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