Provider Demographics
NPI:1891676060
Name:ALLEN, OLYMPIATTA ALEXANDRIA
Entity type:Individual
Prefix:
First Name:OLYMPIATTA
Middle Name:ALEXANDRIA
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 COOPER FOSTER PARK RD W APT 3D
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-3662
Mailing Address - Country:US
Mailing Address - Phone:440-502-9153
Mailing Address - Fax:
Practice Address - Street 1:1802 COOPER FOSTER PARK RD W APT 3D
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-3662
Practice Address - Country:US
Practice Address - Phone:440-502-9153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker