Individual
ASHLEY R ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4599
(208) 391-0787
(208) 502-2570
Mailing address
12148 LUFTBURROW LN, HUDSON, FL 34669-5005
(580) 478-9601
(208) 502-2570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
103435
OK
363LP2300X
Primary Care Nurse Practitioner
Primary
67008
ID
Other
Enumeration date
10/06/2015
Last updated
07/23/2021
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