Individual
MRS. EVVA DIANNE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
330 WALLER AVE STE 100, LEXINGTON, KY 40504-2930
(859) 254-7000
Mailing address
209 SAVANNAH DR, NICHOLASVILLE, KY 40356-2073
(859) 420-3097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015610
KY
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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