Provider Demographics
NPI:1407072614
Name:ALLEMAN, NANCY CAROL (RDH)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:CAROL
Last Name:ALLEMAN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 CORMORANT DR
Mailing Address - Street 2:
Mailing Address - City:STEILACOOM
Mailing Address - State:WA
Mailing Address - Zip Code:98388-1720
Mailing Address - Country:US
Mailing Address - Phone:253-905-1682
Mailing Address - Fax:
Practice Address - Street 1:146 CORMORANT DR
Practice Address - Street 2:
Practice Address - City:STEILACOOM
Practice Address - State:WA
Practice Address - Zip Code:98388-1720
Practice Address - Country:US
Practice Address - Phone:253-905-1682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH00001654124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5902002Medicaid