Individual provider · NPI-1
Andrea E Allen, PA-C
Physician Assistant · Anchorage, AK
NPI number1336453992
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1336453992
- Entity type
- Individual (NPI-1)
- Name
- Andrea E Allen
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2010
- Certification date
- May 30, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 182673 | AK | Yes |
| 363A00000X | Physician Assistant | 5386 | AZ |
Practice location
1200 Airport Heights Dr Ste 210Anchorage, AK 99508-2969
Phone 907-562-6001
Mailing address
1200 Airport Heights Dr Ste 210Anchorage, AK 99508-2969
Phone 907-562-6001
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