Antoinette Fernell Allen
Individual provider Active NPI Registered Nurse · Minot, ND
NPI 1609638089 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1609638089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R54462 (ND)
- Practice address
- 1015 S Broadway Ste 18
Minot, ND 58701-4667 - Phone
- (701) 857-8641
- NPI assigned
- Jan 30, 2024
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R54462 | ND | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R54462 | ND | Yes |
Addresses
Primary practice location
1015 S Broadway Ste 18
Minot, ND 58701-4667
Mailing address
1015 S Broadway Ste 18
Minot, ND 58701-4667
Phone (701) 857-8641
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- Aaron J Albers
- Marisa Ann Albertson
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- Hayley Marie Alkhafaji
- Tyler J Allers
- Heather Allery
- Jessie Allery
- Fernando Almaraz
- Jessica Almaraz
All providers in Minot, ND · Registered Nurse in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.