Provider Demographics
NPI:1427328681
Name:ALLMAN, ANNA LAURA (FNP)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:LAURA
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:ANNA
Other - Middle Name:LAURA
Other - Last Name:PENDLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:415 BARNWELL AVE NW
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-7813
Mailing Address - Country:US
Mailing Address - Phone:803-644-4403
Mailing Address - Fax:803-644-4405
Practice Address - Street 1:415 BARNWELL AVE NW
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801
Practice Address - Country:US
Practice Address - Phone:803-644-4403
Practice Address - Fax:803-644-4405
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN184429363LF0000X
SC4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily