Provider Demographics
NPI:1437139441
Name:ALLEN, DENISE KATHERINE (NP/CNS)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:KATHERINE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:NP/CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 KNAPP CIR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2711
Mailing Address - Country:US
Mailing Address - Phone:732-957-1814
Mailing Address - Fax:
Practice Address - Street 1:20 BINGHAM AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:RUMSON
Practice Address - State:NJ
Practice Address - Zip Code:07760-1539
Practice Address - Country:US
Practice Address - Phone:732-977-8805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC10745200363LP0808X
NJ0344348364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult