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Amanda Lynn Allen, FNP-C

Nurse Practitioner, Family in Lake Orion, MI. Individual provider (NPI-1).

NPI number1821453218
StatusActive
Last updated in NPPESAug 13, 2020

Details

NPI
1821453218
Entity type
Individual (NPI-1)
Name
Mrs. Amanda Lynn Allen
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Dec 29, 2015
Certification date
Aug 13, 2020
Last updated
Aug 13, 2020

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 codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704231602MIYes

Practice location

3079 S Baldwin Rd Ste 1076
Lake Orion, MI 48359-1028

Phone 989-465-7361 · Fax 989-372-8659

Mailing address

3079 S Baldwin Rd Ste 1076
Lake Orion, MI 48359-1028

Phone 989-465-7361 · Fax 989-372-8659

Other practice locations

205 S Bradley Hwy
Rogers City, MI 49779-2137

Phone 989-734-2052 · Fax 989-734-7390

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Lake Orion, MI

All 24 Family Nurse Practitioner providers in Lake Orion · All 651 providers in Lake Orion

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