Provider Demographics
NPI:1770526709
Name:ALLEN, DAVID W (NP)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:ALLEN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:30 BURTON HILLS BLVD
Mailing Address - Street 2:STE 175
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6403
Mailing Address - Country:US
Mailing Address - Phone:615-988-2014
Mailing Address - Fax:615-208-1303
Practice Address - Street 1:4490 HIXSON PIKE
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-5038
Practice Address - Country:US
Practice Address - Phone:423-875-0700
Practice Address - Fax:423-875-3391
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2018-12-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000007287363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P06021Medicare UPIN
3904253Medicare ID - Type Unspecified
TN1016710001Medicare NSC