Provider Demographics
NPI:1073836482
Name:ALLEN, DANA ELIZABETH (FNP,CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:ELIZABETH
Last Name:ALLEN
Suffix:
Gender:F
Credentials:FNP,CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 TIMBERLANE RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:AL
Mailing Address - Zip Code:36904-3945
Mailing Address - Country:US
Mailing Address - Phone:205-459-2659
Mailing Address - Fax:
Practice Address - Street 1:1001 S MULBERRY AVE
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:AL
Practice Address - Zip Code:36904-2813
Practice Address - Country:US
Practice Address - Phone:205-459-4026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-059691363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily