Provider Demographics
NPI:1275314775
Name:ALLMENDINGER, CAROLINE (AFH PROVIDER)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:
Last Name:ALLMENDINGER
Suffix:
Gender:F
Credentials:AFH PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 SAWYER PL
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-5910
Mailing Address - Country:US
Mailing Address - Phone:781-518-8801
Mailing Address - Fax:509-823-4291
Practice Address - Street 1:1006 SAWYER PL
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-5910
Practice Address - Country:US
Practice Address - Phone:781-518-8801
Practice Address - Fax:509-823-4291
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60774006376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide