Individual
ANDREA KRISTINA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 936-7372
(803) 936-4102
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
21277
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
21277
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4706
—
SC
Enumeration date
09/05/2017
Last updated
03/14/2025
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