Individual
DESMA DENISE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
498 NW 18TH ST # 416, RICHMOND, IN 47374-2851
(765) 373-8704
(765) 488-2609
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28163806A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004619A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300026936
—
IN
Enumeration date
07/09/2013
Last updated
06/26/2020
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