Loretta Allen
Individual provider Active NPI Registered Nurse · Columbus, GA
NPI 1942589841 · NPPES record last updated Aug 9, 2011
Key facts
- NPI
- 1942589841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 117268 (GA)
- Practice address
- 2100 Comer Ave
Columbus, GA 31904-8725 - Phone
- (706) 323-0174
- Fax
- (706) 256-3264
- NPI assigned
- Aug 9, 2011
- 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 |
|---|---|---|---|
| 117268 | GA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 117268 | GA | Yes |
Addresses
Primary practice location
2100 Comer Ave
Columbus, GA 31904-8725
Mailing address
403 Whitesville St
Lagrange, GA 30240-5335
Phone (706) 616-5695
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2011. 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.