| Doctor Name: | JULIE ANN ALVARADO |
| NPI Number: | 1003215260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 4704240283 |
| Business Practice Address: | 3955 Patient Care Way Ste A Lansing, MI - 489114299 |
| Business Phone Number: | 5173747600 |
| Business Fax Number: | 5173741126 |
| Mailing Address: | 3955 Patient Care Way, Ste A LANSING |
| State: | MI |
| Postal Code: | 489114299 |
| Phone Number: | 5173747600 |
| Fax Number: | 5173741126 |
| NPI Enumeration Date: | 08/13/2014 |
| NPI Last Update Date: | 01/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 4704240283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |