Provider Demographics
NPI:1225610132
Name:CARRERA, ALLEN ALQUINTO (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLEN
Middle Name:ALQUINTO
Last Name:CARRERA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:ALLEN
Other - Middle Name:PABILONA
Other - Last Name:ALQUINTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2827 DUNVALE RD APT 7101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4569
Mailing Address - Country:US
Mailing Address - Phone:201-688-5120
Mailing Address - Fax:
Practice Address - Street 1:5712 FONDREN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1801
Practice Address - Country:US
Practice Address - Phone:832-834-4426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX909365163WP0200X
TX1048133363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0200XNursing Service ProvidersRegistered NursePediatrics