Provider Demographics
NPI:1487407086
Name:ARMSTRONG, ALLISON MAE (QHHS, CPRS)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MAE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:QHHS, CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-3136
Mailing Address - Country:US
Mailing Address - Phone:612-238-6491
Mailing Address - Fax:
Practice Address - Street 1:740 E 24TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-3862
Practice Address - Country:US
Practice Address - Phone:612-238-6491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker