Amy Michelle Allen

Individual provider Active NPI Critical Care Medicine Registered Nurse · Munster, IN

NPI 1457042996 · NPPES record last updated May 16, 2023

Key facts

NPI
1457042996
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Medicine Registered Nurse 163WC0200X
License
95121223 (CA)
Practice address
901 Macarthur Blvd
Munster, IN 46321-2959
Phone
(619) 402-7150
NPI assigned
May 16, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
95121223CAMDCritical Care Medicine Registered Nurse
28269557AINMDCritical Care Medicine Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 28269557A IN
Critical Care Medicine Registered Nurse 163WC0200X 95121223 CA Yes

Addresses

Primary practice location

901 Macarthur Blvd
Munster, IN 46321-2959

Mailing address

2139 Ridgewood St
Highland, IN 46322-1533
Phone (619) 402-7150

Other providers in Munster, IN

All providers in Munster, IN · Critical Care Medicine Registered Nurse in Indiana

Sources for this page

Verify at the official NPI Registry.