Provider Demographics
NPI:1164498721
Name:ALLEN, DAWN M (MSN,ARNP,FNP-BC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MSN,ARNP,FNP-BC
Other - Prefix:MRS
Other - First Name:DAWN
Other - Middle Name:M
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9145 NARCOOSSEE RD STE A200
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-5768
Mailing Address - Country:US
Mailing Address - Phone:407-412-5030
Mailing Address - Fax:407-601-7946
Practice Address - Street 1:9145 NARCOOSSEE RD STE A200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-5768
Practice Address - Country:US
Practice Address - Phone:407-412-5030
Practice Address - Fax:407-601-7946
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3066942363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY0153OtherBCBSF
FLP00038037OtherMEDICARE RAILROAD
FLP00038037OtherMEDICARE RAILROAD
FLE3559XMedicare PIN