Provider Demographics
NPI:1699967851
Name:ALLEN-MARTIN, ALRENE M (RN)
Entity type:Individual
Prefix:MRS
First Name:ALRENE
Middle Name:M
Last Name:ALLEN-MARTIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:155 WESTRIDGE PKWY
Mailing Address - Street 2:SUITE #208
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-3049
Mailing Address - Country:US
Mailing Address - Phone:678-687-7152
Mailing Address - Fax:678-509-8103
Practice Address - Street 1:155 WESTRIDGE PKWY
Practice Address - Street 2:SUITE # 208
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-3049
Practice Address - Country:US
Practice Address - Phone:678-687-7152
Practice Address - Fax:678-509-8103
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2012-08-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA149168163W00000X, 163WC1500X, 163WC1600X, 163WI0600X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WH0200XNursing Service ProvidersRegistered NurseHome Health