Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marryanne Allen, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1528330081

Marryanne Allen, APRN-CNP is a Nurse Practitioner in Dayton, Ohio. Graduated from University of South Alabama College of Medicine in 2010, 16 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Ohio.

Years since qualifying
16
Trained at
University of South Alabama College of Medicine
Licensed in
LA, OH
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

3700 Southern Blvd Ste 201
Dayton, OH 45429-1265
Phone: (855) 500-2873
Fax: (937) 281-3805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1541 Kings Hwy, Shreveport, LA 71103-4228 — (318) 626-0000

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence APRN.CNP.0038894 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 224457 (LA)
Nurse Practitioner Taxonomy 363L00000X · Licence 224457 (LA)

Record details

NPI number1528330081
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJanuary 30, 2012
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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