Allen, Nicole Marie
Allen, Nicole Marie is an individual health care provider with primary practice located at 1800 Cooks Hill Rd Ste G , Centralia WA 98531-9162. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen, Nicole Marie can be contacted via phone (360) 736-3042.Contact Information
Primary practice address
1800 Cooks Hill Rd Ste G
Centralia WA 98531-9162
Phone: (360) 736-3042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP61478889 | Washington |
Profile Details
| NPI number | 1972387090 |
|---|---|
| LBN Legal business name | Allen, Nicole Marie |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2023 |
| Last updated | Oct 16th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972387090 | NPPES |
| Washington | MEDICAID | 2258345 |
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