Individual
MARY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 918-3574
Mailing address
PO BOX 7106, BLOOMINGTON, IN 47407-7106
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
1947
CA
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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