Provider Demographics
NPI:1396006847
Name:ALLEN, ANNELY G
Entity Type:Individual
Prefix:
First Name:ANNELY
Middle Name:G
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 GREENWICH ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-7029
Mailing Address - Country:US
Mailing Address - Phone:760-429-3524
Mailing Address - Fax:
Practice Address - Street 1:3050 GREENWICH ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010-7029
Practice Address - Country:US
Practice Address - Phone:760-429-3524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula