Healthcare Provider Details

I. General information

NPI: 1477460475
Provider Name (Legal Business Name): GIANINA ALLEN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5656 S POWER RD STE 132
GILBERT AZ
85295-8490
US

IV. Provider business mailing address

9336 E CARMEL AVE
MESA AZ
85208-5833
US

V. Phone/Fax

Practice location:
  • Phone: 480-985-0040
  • Fax:
Mailing address:
  • Phone: 480-433-3853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number344656
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: