Allen, Maribeth

Allen, Maribeth is an individual health care provider with primary practice located at 12470 Telecom Dr Ste 300W , Temple Terrace FL 33637-0904. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Allen, Maribeth can be contacted via phone (813) 871-8200.

Contact Information

Primary practice address
12470 Telecom Dr Ste 300W Temple Terrace FL 33637-0904
Phone: (813) 871-8200
Fax: (813) 357-5501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9266433 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9266433 Florida

Profile Details

NPI number 1144679176
LBN Legal business name Allen, Maribeth
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2016
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144679176 NPPES
Florida Other V366W BCBS
Florida Other APRN9266433 BCBS
Florida MEDICAID 019965100 BCBS

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