Doctor Name: | TERRI LYNN ALLARD |
NPI Number: | 1407254345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 5486338-3102 |
Business Practice Address: | 198 East Center Street Moab, UT - 84532 |
Business Phone Number: | 4352596131 |
Business Fax Number: | 4352595369 |
Mailing Address: | Po Box 867, PRICE |
State: | UT |
Postal Code: | 845010867 |
Phone Number: | 4356377200 |
Fax Number: | 4356372377 |
NPI Enumeration Date: | 12/09/2014 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 5486338-3102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |