Healthcare Provider Details

I. General information

NPI: 1134011497
Provider Name (Legal Business Name): DEBBIE ALLEN MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9640 NOVA PL
RANCHO CUCAMONGA CA
91730-0982
US

IV. Provider business mailing address

2920 INLAND EMPIRE BLVD STE 103
ONTARIO CA
91764-5565
US

V. Phone/Fax

Practice location:
  • Phone: 909-227-8129
  • Fax:
Mailing address:
  • Phone: 909-472-1758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95036176
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: