| Doctor Name: | MS. ANGELLA MARIE ALVARADO |
| NPI Number: | 1437586096 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN, FNP, BC |
| License Number: | 209.010726 |
| Business Practice Address: | 309 S Mccoy St Granville, IL - 613269333 |
| Business Phone Number: | 8153438648 |
| Business Fax Number: | 8159425330 |
| Mailing Address: | 209 N Hawthorne St, GRANVILLE |
| State: | IL |
| Postal Code: | 613269321 |
| Phone Number: | 8153438648 |
| Fax Number: | 8153392617 |
| NPI Enumeration Date: | 09/27/2013 |
| NPI Last Update Date: | 02/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209.010726 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |