Doctor Name: | MS. NATALIE ELIZABETH ALVAREZ |
NPI Number: | 1255490256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | R04998 |
Business Practice Address: | 775 N Main St Winterport, ME - 044963414 |
Business Phone Number: | 2072235074 |
Business Fax Number: | 2072235953 |
Mailing Address: | 133 Corporate Dr, Suite 5 BANGOR |
State: | ME |
Postal Code: | 044014312 |
Phone Number: | 2079427648 |
Fax Number: | 2079905583 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 11/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R04998 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |