Individual
PAMELA DEMETRICE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-8500
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
21242
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9205766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204136524A
—
GA
05
—
204136524C
—
GA
05
—
3085414-00
—
FL
01
—
G4346
BLUE CROSS
FL
Enumeration date
08/05/2007
Last updated
12/06/2023
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