Individual
JOHN M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4605 E ELWOOD ST STE 500, PHOENIX, AZ 85040-1978
(602) 200-9021
Mailing address
15343 W STATE ROAD 54, LINTON, IN 47441-6226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28180788A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28180788A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
331810
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000600175
ANTHEM PROVIDER NUMBER
IN
05
—
200936200
—
IN
Enumeration date
12/10/2008
Last updated
04/28/2026
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