Provider Demographics
NPI:1992062475
Name:AMY, ALLISON ANNE (RN)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:ANNE
Last Name:AMY
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:1110 DR AC TERRANCE BLVD
Mailing Address - Street 2:STE 2
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-6403
Mailing Address - Country:US
Mailing Address - Phone:337-942-5633
Mailing Address - Fax:337-942-5631
Practice Address - Street 1:1110 DR AC TERRANCE BLVD
Practice Address - Street 2:STE 2
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-6403
Practice Address - Country:US
Practice Address - Phone:337-942-5633
Practice Address - Fax:337-942-5631
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LARNO60163163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse