Provider Demographics
NPI:1770339129
Name:ALLEN, DENISE R (EDD, NBCT, NBC-HWC)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:R
Last Name:ALLEN
Suffix:
Gender:F
Credentials:EDD, NBCT, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SULKY WAY
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-5889
Mailing Address - Country:US
Mailing Address - Phone:207-329-0026
Mailing Address - Fax:
Practice Address - Street 1:6 SULKY WAY
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-5889
Practice Address - Country:US
Practice Address - Phone:207-329-0026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME17736146L00000X
NA171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic