Individual
TANISHA RAION ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 MEDICAL PLAZA PL, MINDEN, LA 71055-3330
(318) 377-2321
(318) 371-5606
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN127133
LA
363LF0000X
Family Nurse Practitioner
Primary
AP09068
LA
Other
Enumeration date
11/01/2016
Last updated
01/02/2020
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