NPI Profile for ROBERTA R ALLEN in DAVIS, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1508877382 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 08/10/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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ROBERTA R ALLEN
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