Provider Demographics
NPI:1528367877
Name:ALLEN, LUVENIA (REGISTERED NURSE/PHD)
Entity Type:Individual
Prefix:MS
First Name:LUVENIA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:REGISTERED NURSE/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4631 NW 74TH AVE
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4047
Mailing Address - Country:US
Mailing Address - Phone:954-232-6362
Mailing Address - Fax:954-747-7744
Practice Address - Street 1:4631 NW 74TH AVE
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4047
Practice Address - Country:US
Practice Address - Phone:954-232-6362
Practice Address - Fax:954-747-7744
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1882622163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse