Provider Demographics
NPI:1033096086
Name:TEMPLE, ALLYN NOELLE (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:ALLYN
Middle Name:NOELLE
Last Name:TEMPLE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:ALLIE
Other - Middle Name:NOELLE
Other - Last Name:RAATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 PONUS AVE
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-7413
Mailing Address - Country:US
Mailing Address - Phone:917-972-9232
Mailing Address - Fax:
Practice Address - Street 1:25 PONUS AVE
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-7413
Practice Address - Country:US
Practice Address - Phone:917-972-9232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY914872-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse