Provider Demographics
NPI:1922258060
Name:ALLMAN, CAROL MAE (RN, RCNP)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:MAE
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:RN, RCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 FIVE MILE ROAD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-2188
Mailing Address - Country:US
Mailing Address - Phone:513-232-3500
Mailing Address - Fax:513-624-2704
Practice Address - Street 1:8000 FIVE MILE ROAD
Practice Address - Street 2:SUITE 305
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-2188
Practice Address - Country:US
Practice Address - Phone:513-232-3500
Practice Address - Fax:513-624-2704
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-28190363L00000X
OHNP.10233363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0071305Medicaid
OHH122740Medicare PIN