Individual
MARLEA ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
155 ONTARIO ST, HONEOYE FALLS, NY 14472-1139
(585) 424-3390
Mailing address
155 ONTARIO ST, HONEOYE FALLS, NY 14472-1139
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400474
NY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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