Individual
MARY LOUISE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
MASSEY AVE BLDG 2104, MAYPORT, FL 32228
(904) 270-4444
Mailing address
PO BOX 280148, NAVAL STATION, MAYPORT, FL 32228
(904) 270-4444
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP 9199564
FL
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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