Healthcare Provider Details

I. General information

NPI: 1720065956
Provider Name (Legal Business Name): CARRIE A ALLEN P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9670 W COAL MINE AVE STE 200
LITTLETON CO
80123-4004
US

IV. Provider business mailing address

9670 W COAL MINE AVE STE 200
LITTLETON CO
80123-4004
US

V. Phone/Fax

Practice location:
  • Phone: 303-932-2121
  • Fax:
Mailing address:
  • Phone: 303-932-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0003814
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: