Individual
NICOLE M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(314) 775-2816
Mailing address
13515 BARRETT PARKWAY DR, STE 107, BALLWIN, MO 63021-5870
(314) 775-2816
(314) 775-2821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2007032979
MO
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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