Healthcare Provider Details

I. General information

NPI: 1447326483
Provider Name (Legal Business Name): DENISE MARIE ALLEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E WATSON DR
TEMPE AZ
85283-3147
US

IV. Provider business mailing address

1600 E WATSON DR
TEMPE AZ
85283-3147
US

V. Phone/Fax

Practice location:
  • Phone: 480-897-6063
  • Fax: 480-838-0853
Mailing address:
  • Phone: 480-897-6063
  • Fax: 480-838-0853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN086768
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: