Paul Thomas Allen, CRNA
Nurse Anesthetist, Certified Registered in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1215300397
StatusActive
Last updated in NPPESDec 3, 2018
Details
- NPI
- 1215300397
- Entity type
- Individual (NPI-1)
- Name
- Paul Thomas Allen
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2015
- Last updated
- Dec 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704277964 | MI | Yes |
| 163W00000X | Registered Nurse | 4704277964 | MI |
Practice location
1500 E Medical Center Dr1h247 University Hospital
Ann Arbor, MI 48109-5048
Phone 734-936-4280
Mailing address
3621 S State StAnn Arbor, MI 48108-1633
Phone 734-647-5299
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