Doctor Name: | MS. LYDIA ALVAREZ |
NPI Number: | 1407833239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP 2038 |
Business Practice Address: | Rt 9 And Rt 371 Crownpoint, NM - 87313 |
Business Phone Number: | 5057866488 |
Business Fax Number: | |
Mailing Address: | Po Box 358, CROWNPOINT |
State: | NM |
Postal Code: | 873130358 |
Phone Number: | 5057866488 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP 2038 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |