Individual
BRONWYN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1315 JEFFERSON HWY, NEW ORLEANS, LA 70121-2406
(504) 842-3900
Mailing address
2330 JENA ST, NEW ORLEANS, LA 70115-5906
(504) 722-7687
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP08498
LA
364SP0200X
Pediatric Clinical Nurse Specialist
382418
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07455236
—
MS
05
—
2401700
—
LA
Enumeration date
12/02/2013
Last updated
11/05/2018
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