Provider Demographics
NPI:1831947993
Name:ALLEN, HALEY CAROLINE (LPN)
Entity type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:CAROLINE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8506 SARA LYNN PL
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-4914
Mailing Address - Country:US
Mailing Address - Phone:479-831-2424
Mailing Address - Fax:
Practice Address - Street 1:3230 C ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3964
Practice Address - Country:US
Practice Address - Phone:907-885-6537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR221289164W00000X
AK214385164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse