Provider Demographics
NPI:1356651996
Name:BEAN, ALLISON RAE (NP)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:RAE
Last Name:BEAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:1212 CRANEBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9428
Mailing Address - Country:US
Mailing Address - Phone:704-502-7460
Mailing Address - Fax:
Practice Address - Street 1:6905 FAYETTEVILLE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7084
Practice Address - Country:US
Practice Address - Phone:919-490-8899
Practice Address - Fax:919-490-8890
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC216635363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner