Individual
BRANDON RYAN ALLEN
Active
Individual
BRANDON RYAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209009872
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
2216
MN
367500000X
Certified Registered Nurse Anesthetist
D176311
IA
Other
Enumeration date
10/29/2012
Last updated
10/25/2023
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