Individual
BONNIE M. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1471 CHESTER BLVD, RICHMOND, IN 47374-1945
(765) 935-8581
(765) 935-1171
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-8581
(765) 935-1171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005645A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000957439
ANTHEM (REID PHYSICIAN ASSOCIATES, INC.)
—
05
—
0152309
—
OH
05
—
201313040
—
IN
Enumeration date
08/16/2015
Last updated
05/12/2021
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