| NPI | 1730532391 |
|---|---|
| Former Name | NICOLE CONSTANCE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340761-1) |
| 363L00000X Nurse Practitioner (Licence: MA RN2363558) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2022-07-13 |