Wellformed AI

NPI 1295063527 · live from the CMS NPI Registry

Blaine Jared Allen, ANP

Nurse Practitioner, Pediatrics in Aurora, CO. National Provider Identifier 1295063527, active.

NPI record

NPI1295063527 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location13123 E 16th Ave, Aurora, CO 80045
Practice phone720-777-1234
Mailing addressPo Box 110429, Aurora, CO 80042
EnumeratedNovember 24, 2009
Last updatedFebruary 1, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Acute Care363LA2100XAPN.0010127-NP (CO)
Nurse Practitioner, Family363LF0000XNP10127 (CO)
Nurse Practitioner, Pediatrics primary363LP0200XAPN.0010127-NP (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.