Individual provider · NPI-1

Zetra Elaine Allen, RN

Registered Nurse, General Practice · Indianapolis, IN

NPI number1689842296
StatusActive
Last updated in NPPESFeb 16, 2008

Details

NPI
1689842296
Entity type
Individual (NPI-1)
Name
Zetra Elaine Allen
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Feb 16, 2008
Last updated
Feb 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice28125758AINYes

Practice location

3838 N Rural St
Indianapolis, IN 46205-2930

Phone 317-221-2306

Mailing address

3838 N Rural St
Indianapolis, IN 46205-2930

Phone 317-221-2306

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