IndividualActive
Allison Rego
NPI 1417735994 · Physician Assistant · Crestview, FL
Provider details
- NPI number
- 1417735994
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Premier Dr Unit a
Crestview, FL 32539-3246
Phone: (850) 477-2597
Approximate (ZIP-level) locationGet directions
Mailing address
100 Premier Dr Unit a
Crestview, FL 32539-3246
Additional practice locations (1)
- 204 Center StGulf Breeze, FL 32561-4392Phone: (850) 477-2597
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.