Individual
ELIZABETH D ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
98 STATE ST, PROCTORVILLE, OH 45669-8163
(554) 465-9378
(740) 446-5082
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5000
(740) 446-5082
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN.CNP.07926
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312531
ANTHEM BCBS
—
05
—
0092846000
—
WV
01
—
2177648
MOLINA MEDICAID
OH
05
—
2177648
—
OH
01
—
500011885
RR MEDICARE
—
Enumeration date
06/03/2006
Last updated
11/18/2020
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