Individual provider · NPI-1
Elizabeth Allen
Case Manager/Care Coordinator · Fargo, ND
NPI number1063124063
StatusActive
Last updated in NPPESDec 21, 2022
Details
- NPI
- 1063124063
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Allen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2022
- Certification date
- Dec 21, 2022
- Last updated
- Dec 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 172A00000X | Driver | – | – |
Practice location
2701 9th Ave S Ste EFargo, ND 58103-8712
Phone 701-223-2417
Mailing address
4909 Shelburne StBismarck, ND 58503-5605
Phone 701-223-2417
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