Doctor Name: | GWENDOLYN SUE ALLEN |
NPI Number: | 1164686739 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 14-34584-122 |
Business Practice Address: | 11691 Allen Rd Horton, KS - 664399160 |
Business Phone Number: | 7858733161 |
Business Fax Number: | |
Mailing Address: | 11691 Allen Rd, HORTON |
State: | KS |
Postal Code: | 664399160 |
Phone Number: | 7858733161 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2008 |
NPI Last Update Date: | 07/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | 14-34584-122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |