Allen, Nicole

Allen, Nicole is an individual health care provider with primary practice located at 1721 Rio Rancho Nw , Rio Rancho NM 87112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Allen, Nicole can be contacted via phone (505) 727-3500.

Contact Information

Primary practice address
1721 Rio Rancho Nw Rio Rancho NM 87112
Phone: (505) 727-3500
Fax: (505) 727-3505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 2001PA41 New Mexico

Profile Details

NPI number 1548295660
LBN Legal business name Allen, Nicole
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548295660 NPPES
New Mexico MEDICAID 01730878

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