Individual
ANDREA KRISTINA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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