Dawn Elizabeth Allen
Individual provider Active NPI Licensed Practical Nurse · Rockford, MI
NPI 1619009891 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619009891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703096713 (MI)
- Practice address
- 6545 13 Mile Rd NE
Rockford, MI 49341-9714 - Phone
- (616) 866-9393
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 4703096713 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703096713 | MI | Yes |
Addresses
Primary practice location
6545 13 Mile Rd NE
Rockford, MI 49341-9714
Mailing address
9443 Peck Rd
Greenville, MI 48838-9534
Phone (616) 894-4304
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All providers in Rockford, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.