Provider Demographics
NPI:1598339038
Name:ALLEN, MAEGAN LEE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MAEGAN
Middle Name:LEE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:1758 PARK PL STE 201
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1134
Mailing Address - Country:US
Mailing Address - Phone:334-263-3630
Mailing Address - Fax:334-263-3155
Practice Address - Street 1:1758 PARK PL STE 201
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1134
Practice Address - Country:US
Practice Address - Phone:334-263-3630
Practice Address - Fax:334-263-3155
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2023-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL1-157922163WX0003X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient