Provider Demographics
NPI:1043593197
Name:MCNAMARA, ALLISON LOUISE (APRN-FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:LOUISE
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:APRN-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 ORCHARD HILL ST
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-7996
Mailing Address - Country:US
Mailing Address - Phone:561-703-8327
Mailing Address - Fax:
Practice Address - Street 1:301 MEMORIAL MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-5167
Practice Address - Country:US
Practice Address - Phone:561-703-8327
Practice Address - Fax:386-231-3357
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN1372602363LA2100X, 363LF0000X, 363L00000X
SC18636363LF0000X
FLARNP1372602363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily