Individual
MRS. NICOLE MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1800 COOKS HILL RD STE G, CENTRALIA, WA 98531-9162
(360) 736-3042
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61478889
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2258345
—
WA
Enumeration date
08/21/2023
Last updated
10/16/2023
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