Individual
NICOLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1721 RIO RANCHO NW, RIO RANCHO, NM 87112
(505) 727-3500
(505) 727-3505
Mailing address
PO BOX 27829, ALBUQUERQUE, NM 87125
(505) 232-1920
(505) 727-9276
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
2001PA41
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01730878
—
NM
Enumeration date
07/11/2006
Last updated
07/08/2007
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