Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 019872 | OH |
NPI | 1033652508 |
---|---|
Provider Name | Allison Ulbrich Allen |
First Address | Columbus, OH 43215-5803 |
Second Address | Columbus, OH 43215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2016 |
Last Update Date | 31/07/2019 |