Individual provider · NPI-1

Blaine Jared Allen, ANP

Nurse Practitioner, Pediatrics · Aurora, CO

NPI number1295063527
StatusActive
Last updated in NPPESFeb 1, 2024

Details

NPI
1295063527
Entity type
Individual (NPI-1)
Name
Blaine Jared Allen
Credential
ANP
Sex
Male
Sole proprietor
No
Enumeration date
Nov 24, 2009
Certification date
Feb 1, 2024
Last updated
Feb 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsAPN.0010127-NPCOYes
363LA2100X Nurse Practitioner, Acute CareAPN.0010127-NPCO
363LF0000X Nurse Practitioner, FamilyNP10127CO

Practice location

13123 E 16th Ave
Aurora, CO 80045-7106

Phone 720-777-1234

Mailing address

Po Box 110429
Aurora, CO 80042-0429

Phone 303-493-7000

Other practice locations

12605 E 16th Ave
Aurora, CO 80045-2545

Phone 303-493-7000

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