Healthcare Provider Details

I. General information

NPI: 1942139027
Provider Name (Legal Business Name): NAOMI ALLEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 LITCHFIELD ST STE G02
TORRINGTON CT
06790-6669
US

IV. Provider business mailing address

1175 FARMINGTON AVE
BRISTOL CT
06010-4730
US

V. Phone/Fax

Practice location:
  • Phone: 860-489-5068
  • Fax:
Mailing address:
  • Phone: 203-400-7797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: