Individual
ANTOINETTE FERNELL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 S BROADWAY STE 18, MINOT, ND 58701-4667
(701) 857-8641
Mailing address
1015 S BROADWAY STE 18, MINOT, ND 58701-4667
(701) 857-8641
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R54462
ND
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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