Susan Nowell Allen, RN PHN

Individual provider Active NPI Registered Nurse · Eureka, CA

NPI 1750566220 · NPPES record last updated Jan 3, 2008

Key facts

NPI
1750566220
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN390998 (CA)
Practice address
529 I Street
Eureka, CA 95501-1116
Phone
(707) 268-2105
Fax
(707) 445-6091
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN390998CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN390998 CA Yes

Addresses

Primary practice location

529 I Street
Eureka, CA 95501-1116

Mailing address

529 I Street
Eureka, CA 95501-1116
Phone (707) 268-2105

Other providers in Eureka, CA

All providers in Eureka, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.