Doctor Name: | SAMANTHA A ALLEN |
NPI Number: | 1508039223 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED NURSE |
License Number: | 35831 |
Business Practice Address: | 456 Gros Ventre Avenue Harlem, MT - 595260456 |
Business Phone Number: | 4063533235 |
Business Fax Number: | 4063533283 |
Mailing Address: | Rr 1 Box 67, HARLEM |
State: | MT |
Postal Code: | 595269705 |
Phone Number: | 4063533235 |
Fax Number: | 4063533283 |
NPI Enumeration Date: | 04/03/2008 |
NPI Last Update Date: | 04/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 35831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |