Individual
ANDREA MICHELLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 725-1000
Mailing address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 590-0367
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
347468
OH
363L00000X
Nurse Practitioner
Primary
0027904
OH
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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