Provider Demographics
NPI:1639849730
Name:ALLEN, EULLA
Entity Type:Individual
Prefix:
First Name:EULLA
Middle Name:
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 1:2181 S TRENTON WAY APT 14-201
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5390
Mailing Address - Country:US
Mailing Address - Phone:470-891-9364
Mailing Address - Fax:
Practice Address - Street 1:2181 S TRENTON WAY APT 14-201
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5390
Practice Address - Country:US
Practice Address - Phone:470-891-9364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program