Provider Demographics
NPI:1902796139
Name:ALLSOP, MAUREEN J (LPN)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:J
Last Name:ALLSOP
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 HIGHWAY 93 N
Mailing Address - Street 2:SUITE 1
Mailing Address - City:VICTOR
Mailing Address - State:MT
Mailing Address - Zip Code:59875
Mailing Address - Country:US
Mailing Address - Phone:406-961-4990
Mailing Address - Fax:406-396-1849
Practice Address - Street 1:1002 HIGHWAY 93 N
Practice Address - Street 2:SUITE 1
Practice Address - City:VICTOR
Practice Address - State:MT
Practice Address - Zip Code:59875
Practice Address - Country:US
Practice Address - Phone:406-961-4990
Practice Address - Fax:406-396-1849
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLPN6472164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse