Phyllene Allison
Individual provider Active NPI Licensed Practical Nurse · Wyoming, MI
NPI 1780348235 · NPPES record last updated Oct 29, 2021
Key facts
- NPI
- 1780348235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703054140 (MI)
- Practice address
- 1853 R W Berends Dr SW
Wyoming, MI 49519-4955 - Phone
- (616) 534-9300
- NPI assigned
- Oct 29, 2021
- 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 |
|---|---|---|---|
| 4703054140 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703054140 | MI | Yes |
Addresses
Primary practice location
1853 R W Berends Dr SW
Wyoming, MI 49519-4955
Mailing address
12014 Verona Rd
Battle Creek, MI 49014-7908
Other providers in Wyoming, MI
- Janan Abbas Alkilidar
- Allen Surgical Care, PLLC
- Marcia Allen
- Miranda Allen
- Alliance Physician Services of Michigan, P.C.
- Michael Alofs
- Mershed Alsamara
- Terese Diane Alsum
- Kendell Rae Altena
- Jesse Ryan Alvarado
All providers in Wyoming, 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 Oct 29, 2021. 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.