Brandon Allen, CRNA
Nurse Anesthetist, Certified Registered in Fort Moore, GA. Individual provider (NPI-1).
NPI number1407428790
StatusActive
Last updated in NPPESFeb 28, 2024
Details
- NPI
- 1407428790
- Entity type
- Individual (NPI-1)
- Name
- Brandon Allen
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2021
- Certification date
- Feb 28, 2024
- Last updated
- Feb 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP61189448 | WA | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | RN316457 | GA |
Practice location
6600 Van Aalst BlvdFort Moore, GA 31905-2102
Phone 762-408-2273
Mailing address
6600 Van Aalst BlvdFort Moore, GA 31905-2102
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Other Certified Registered Nurse Anesthetist providers in Fort Moore, GA
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- Eric HendersonNPI 1003599648
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- Ryann Mae MurphyNPI 1093493165
- John James Zitzelberger, CRNANPI 1851392146
All 7 Certified Registered Nurse Anesthetist providers in Fort Moore · All 173 providers in Fort Moore
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