NPI 1295319986 · live from the CMS NPI Registry
Michael Young Allen, PA-C
Physician Assistant in Sparks, NV. National Provider Identifier 1295319986, active.
NPI record
| NPI | 1295319986 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 5070 Ion Dr Ste 100, Sparks, NV 89436 |
| Practice phone | 775-770-7682 |
| Mailing address | 6555 Oglala Ct, Sun Valley, NV 89433 |
| Enumerated | May 8, 2021 |
| Last updated | May 2, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PA2737 (NV) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.