Deloris Ann Marie Allen, NP
Registered Nurse in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1225895618
StatusActive
Last updated in NPPESMar 1, 2024
Details
- NPI
- 1225895618
- Entity type
- Individual (NPI-1)
- Name
- Deloris Ann Marie Allen
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2024
- Certification date
- Mar 1, 2024
- Last updated
- Mar 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 28242855A | IN | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | PENDING | IN |
Practice location
2200 Randallia DrFort Wayne, IN 46805-4638
Phone 260-373-4000
Mailing address
2200 Randallia DrFort Wayne, IN 46805-4638
Phone 260-373-4000
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