Heather Allen

Individual provider Active NPI Licensed Practical Nurse · Newark, OH

NPI 1992042691 · NPPES record last updated Jan 15, 2013

Key facts

NPI
1992042691
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN144453MIV (OH)
Practice address
327 Union St
Apt E-25
Newark, OH 43055-3770
Phone
(740) 348-5924
NPI assigned
Jan 15, 2013
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

LicenseStateTypeSpecialty
PN144453MIVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN144453MIV OH Yes

Addresses

Primary practice location

327 Union St
Apt E-25
Newark, OH 43055-3770

Mailing address

327 Union St
Apt E-25
Newark, OH 43055-3770
Phone (740) 348-5924

Other providers in Newark, OH

All providers in Newark, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.