Healthcare Provider Details

I. General information

NPI: 1003934282
Provider Name (Legal Business Name): CHRISTOPHER E ALLEN APRN BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 EAST AVENUE STE F
NORWALK CT
06851-4903
US

IV. Provider business mailing address

11 OUTLOOK DRIVE
NORWALK CT
06854-2111
US

V. Phone/Fax

Practice location:
  • Phone: 203-838-1678
  • Fax: 203-854-6775
Mailing address:
  • Phone: 203-221-2224
  • Fax: 203-854-6775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number002861APRN
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: