Individual provider · NPI-1

Ayako Nitani Allen, FNP

Nurse Practitioner · Winston Salem, NC

NPI number1194490425
StatusActive
Last updated in NPPESDec 26, 2025

Details

NPI
1194490425
Entity type
Individual (NPI-1)
Name
Ayako Nitani Allen
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 10, 2021
Certification date
Dec 26, 2025
Last updated
Dec 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner5014934NCYes
363LF0000X Nurse Practitioner, FamilyF07210277NC

Practice location

4937 Old Country Club Rd
Winston Salem, NC 27104-5071

Phone 336-718-4510

Mailing address

Po Box 60447
Charlotte, NC 28260-0447

Phone 336-718-4510

Other practice locations

1830 S Hawthorne Rd
Winston Salem, NC 27103-4014

Phone 336-448-2427

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