Provider Demographics
NPI:1164181939
Name:TESTERMAN, ALLISON KATE
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:KATE
Last Name:TESTERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:KATE
Other - Last Name:DAHLBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2530 S TELSHOR BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-4975
Mailing Address - Country:US
Mailing Address - Phone:575-522-3029
Mailing Address - Fax:
Practice Address - Street 1:2530 S TELSHOR BLVD STE 207
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4975
Practice Address - Country:US
Practice Address - Phone:913-742-1291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-09
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant