Individual
RAYMOND WILLIAM ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, MSN
Contact information
Practice address
971 W 1200 S, WOODS CROSS, UT 84087-2007
(801) 891-7261
Mailing address
971 W 1200 S, WOODS CROSS, UT 84087-2007
(801) 891-7261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5149296-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992004001
PARAMEDIC
UT
01
—
5149296-3102
REGISTERED NURSE
UT
01
—
5149296-4405
APRN
UT
01
—
5149296-8900
APRN WITH CONTROLLED SUBSTANCES
UT
Enumeration date
06/29/2018
Last updated
07/08/2022
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