Healthcare Provider Details

I. General information

NPI: 1235079823
Provider Name (Legal Business Name): DANIELLE ALLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7855 KINGS BENCH PL
PASADENA MD
21122-6303
US

IV. Provider business mailing address

7855 KINGS BENCH PL
PASADENA MD
21122-6303
US

V. Phone/Fax

Practice location:
  • Phone: 443-495-9766
  • Fax:
Mailing address:
  • Phone: 443-495-9766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR237764
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number237764
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: