Healthcare Provider Details

I. General information

NPI: 1942117957
Provider Name (Legal Business Name): ALANNAH ALLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 W CRESCENT PARK
WARREN PA
16365-2199
US

IV. Provider business mailing address

4303 W NICKERSON AVE
SCIO NY
14880-9788
US

V. Phone/Fax

Practice location:
  • Phone: 814-723-3300
  • Fax:
Mailing address:
  • Phone: 585-808-7150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN763516
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: