Provider Demographics
NPI:1427742535
Name:ALLEN, ALANNAH
Entity type:Individual
Prefix:MISS
First Name:ALANNAH
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 1:4255 CY AVE
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-4247
Mailing Address - Country:US
Mailing Address - Phone:307-232-9610
Mailing Address - Fax:307-232-9612
Practice Address - Street 1:4255 CY AVE
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-4247
Practice Address - Country:US
Practice Address - Phone:307-232-9610
Practice Address - Fax:307-232-9612
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician