Individual
ADA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
305 N MAIN ST, GRETNA, VA 24557-4176
(434) 656-2224
(434) 656-3988
Mailing address
305 N MAIN ST, GRETNA, VA 24557-4176
(434) 656-2224
(434) 656-3988
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024166917
VA
363L00000X
Nurse Practitioner
R127634
MD
363LF0000X
Family Nurse Practitioner
087140-23
NH
363LF0000X
Family Nurse Practitioner
12.014109
CT
363LF0000X
Family Nurse Practitioner
356522
NY
363LF0000X
Family Nurse Practitioner
CNP211572
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010269041
—
VA
05
—
116914900
—
MD
Enumeration date
05/10/2006
Last updated
03/05/2026
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