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HEATHER ROSE ALLEN FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1447769286

Individual Registrant:
 HEATHER ROSE ALLEN FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
417 C ST  GALT, CA 95632-1958 US
Tel: 209-745-1778  Fax: --

Contact information for business:
1151 PADDINGTON CIR  GALT, CA 95632-3180 US
Tel: 530-864-4605  Fax: --

Registration Information:
NPI: 1447769286
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA95007533

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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