Provider Demographics
NPI:1528610037
Name:ALLEN, CLAUDINE ANN (PMHNP)
Entity type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:ANN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:CLAUDINE
Other - Middle Name:ANN
Other - Last Name:BARANEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:656 STATE ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-5609
Mailing Address - Country:US
Mailing Address - Phone:207-944-1069
Mailing Address - Fax:207-941-4060
Practice Address - Street 1:656 STATE ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-5609
Practice Address - Country:US
Practice Address - Phone:207-561-5400
Practice Address - Fax:207-941-4060
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP191149363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health