Healthcare Provider Details

I. General information

NPI: 1083808703
Provider Name (Legal Business Name): ALLISON MARIE CURTIS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 03/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 N MADISON AVE SUITE 800
PASADENA CA
91101-2035
US

IV. Provider business mailing address

526 RANCHITO RD
MONROVIA CA
91016-3732
US

V. Phone/Fax

Practice location:
  • Phone: 626-792-3141
  • Fax:
Mailing address:
  • Phone: 626-305-0520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number557547
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: