Individual
MRS. ANNA K ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
605 LAMAR AVE, BROOKSVILLE, FL 34601-3211
(352) 799-5411
(352) 544-2713
Mailing address
605 LAMAR AVE, BROOKSVILLE, FL 34601-3211
(352) 799-5411
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP1735792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305836100
—
FL
01
—
P00179739
RAILROAD MEDICARE
FL
01
—
Y046S
BC/BS FLA
FL
Enumeration date
05/24/2005
Last updated
07/21/2008
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