Doctor Name: | MRS. MARY M ALLEN |
NPI Number: | 1225293335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R050003 |
Business Practice Address: | 66 Spruce St Suite 4 Presque Isle, ME - 047693243 |
Business Phone Number: | 2077692025 |
Business Fax Number: | 2077640629 |
Mailing Address: | Po Box 40, CARIBOU |
State: | ME |
Postal Code: | 047360040 |
Phone Number: | 2074982359 |
Fax Number: | 2074983947 |
NPI Enumeration Date: | 07/29/2008 |
NPI Last Update Date: | 03/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R050003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |