Doctor Name: | JANE ESTHER ALLEN |
NPI Number: | 1043286743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | R1084685 |
Business Practice Address: | 347 North Smith Avenue Mail Stop #70-302, Garden View Medical Building St. Paul, MN - 55102 |
Business Phone Number: | 6512205230 |
Business Fax Number: | 6512205231 |
Mailing Address: | 347 North Smith Avenue, Mail Stop #70-302, Garden View Medical Building ST. PAUL |
State: | MN |
Postal Code: | 55102 |
Phone Number: | 6512205230 |
Fax Number: | 6512205231 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | R1084685 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |