Provider Demographics
NPI:1407249253
Name:KLEIN, ALLEGRA (ARNP)
Entity Type:Individual
Prefix:
First Name:ALLEGRA
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 148TH AVE NE
Mailing Address - Street 2:103
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-7114
Mailing Address - Country:US
Mailing Address - Phone:425-968-5948
Mailing Address - Fax:
Practice Address - Street 1:4205 148TH AVE NE
Practice Address - Street 2:103
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-7114
Practice Address - Country:US
Practice Address - Phone:425-968-5948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007245363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health