SearchFlorida367500000X

Misty Allen, CRNA

NPI 1306872387 · on the registry since 2006

Practice

Address
2862 W Main St
Leesburg, FL 34748
Phone
(352) 326-4014
Organisation at this address
Mirrah Image Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida