Provider Demographics
NPI:1497435796
Name:ALLEN, NATASHA ANN-MARIE
Entity Type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:ANN-MARIE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3585 WILSON FARMS BLVD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-9487
Mailing Address - Country:US
Mailing Address - Phone:513-515-5971
Mailing Address - Fax:
Practice Address - Street 1:106 S WATER ST
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:OH
Practice Address - Zip Code:45327-1447
Practice Address - Country:US
Practice Address - Phone:224-489-4878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant