Allen, Amanda Lee

Allen, Amanda Lee is an individual health care provider with primary practice located at 251 N Bayou St , Mobile AL 36603-5827. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen, Amanda Lee can be contacted via phone (251) 690-8158.

Contact Information

Primary practice address
251 N Bayou St Mobile AL 36603-5827
Phone: (251) 690-8158
Fax: (251) 544-2188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-107384 Alabama

Profile Details

NPI number 1932460680
LBN Legal business name Allen, Amanda Lee
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Feb 28th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932460680 NPPES
Alabama MEDICAID 630000013
Alabama Other 011846
Alabama Other 1063439065

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