Individual
MICHELLE ELIZABETH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 231-3112
(573) 231-3717
Mailing address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 231-3112
(573) 231-3717
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
129204
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429711906
—
MO
Enumeration date
09/26/2006
Last updated
02/14/2021
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