Provider Demographics
NPI:1417130022
Name:ALLEN, BARBARA (RNFA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 WILSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:COLONA
Mailing Address - State:IL
Mailing Address - Zip Code:61241-9658
Mailing Address - Country:US
Mailing Address - Phone:954-323-8324
Mailing Address - Fax:309-949-2779
Practice Address - Street 1:412 WILSHIRE DR
Practice Address - Street 2:
Practice Address - City:COLONA
Practice Address - State:IL
Practice Address - Zip Code:61241-9658
Practice Address - Country:US
Practice Address - Phone:954-323-8324
Practice Address - Fax:309-949-2779
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1818202163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant