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MS. AUDREY A ALLEN APRN
Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1710232947
Individual Registrant:MS. AUDREY A ALLEN APRN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
365 MONTAUK AVE NEW LONDON, CT 06320-4700 US
Tel: 860-442-0711 Fax: --
Tel: 860-442-0711 Fax: --
Contact information for business:
365 MONTAUK AVE NEW LONDON, CT 06320-4700 US
Tel: 860-442-0711 Fax: --
Tel: 860-442-0711 Fax: --
Registration Information:
NPI: 1710232947
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health | CT | 004996 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
