| NPI | 1730532391 |
|---|---|
| Former Name | NICOLE CONSTANCE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01980) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2363558) |
| 363LF0000X Nurse Practitioner Family (Licence: NY F340761-1) | |
| 363LF0000X Nurse Practitioner Family (Licence: RI APRN01980) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2025-03-19 |