Provider Demographics
NPI:1003934282
Name:ALLEN, CHRISTOPHER E (APRN BC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:E
Last Name:ALLEN
Suffix:
Gender:M
Credentials:APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 OUTLOOK DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-2111
Mailing Address - Country:US
Mailing Address - Phone:203-221-2224
Mailing Address - Fax:203-854-6775
Practice Address - Street 1:71 EAST AVENUE
Practice Address - Street 2:STE F
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4903
Practice Address - Country:US
Practice Address - Phone:203-838-1678
Practice Address - Fax:203-854-6775
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002861APRN364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1100015OtherFED DEA
CT34625OtherDEA
O39178Medicare UPIN