=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235403775
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMILY K. ALLINA NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/01/2012
-----------------------------------------------------
Last Update Date | 05/08/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 898 TANAGER ST
-----------------------------------------------------
City | INCLINE VILLAGE
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89451-9475
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-347-3737
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 770 MAYS BLVD # 4058
-----------------------------------------------------
City | INCLINE VILLAGE
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89451-9797
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-347-3737
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 21646
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 840549
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 840549
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------