Individual
NATHAN MARK ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1234 HUFFMAN MILL RD, BURLINGTON, NC 27215-8777
(336) 538-1234
Mailing address
1102 RIVER BIRCH WAY, MEBANE, NC 27302-7826
(919) 753-4340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014200
NC
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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