Provider Demographics
NPI:1396455051
Name:ALLMAN, BROOKE NOEL
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:NOEL
Last Name:ALLMAN
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 1:1924 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-2534
Mailing Address - Country:US
Mailing Address - Phone:304-699-8381
Mailing Address - Fax:
Practice Address - Street 1:1924 OHIO AVE
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-2534
Practice Address - Country:US
Practice Address - Phone:304-699-8381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant