Provider Demographics
NPI:1255738688
Name:ALLEN, COLLEEN L (CRNP)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:L
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:L
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:750 E DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-7185
Mailing Address - Country:US
Mailing Address - Phone:302-369-1608
Mailing Address - Fax:302-369-1609
Practice Address - Street 1:620 STANTON CHRISTIANA RD STE 301
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2135
Practice Address - Country:US
Practice Address - Phone:302-994-1100
Practice Address - Fax:302-994-1599
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000771363LF0000X
MDR136818363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily