Allen, Michelle

Allen, Michelle is an individual health care provider with primary practice located at 534 Maple Valley Dr , Farmington MO 63640-1981. 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 / Family is her primary health care specialty. Allen, Michelle can be contacted via phone (573) 760-8253.

Contact Information

Primary practice address
534 Maple Valley Dr Farmington MO 63640-1981
Phone: (573) 760-8253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2010013174 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2010013174 Missouri

Profile Details

NPI number 1467639278
LBN Legal business name Allen, Michelle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Jan 11th, 2022 - about 2 years ago

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 1467639278 NPPES
Other 204795132 TAX ID
MEDICAID 1467639278 TAX ID
MEDICAID 428821904 TAX ID
Other P00702570 TAX ID

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