Provider Demographics
NPI:1003215260
Name:ALVARADO, JULIE ANN (NP-C)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:CIARAVINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2720 PLEASANT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-2410
Mailing Address - Country:US
Mailing Address - Phone:517-575-9614
Mailing Address - Fax:877-370-2381
Practice Address - Street 1:2720 PLEASANT GROVE RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-2410
Practice Address - Country:US
Practice Address - Phone:517-575-9614
Practice Address - Fax:877-370-2381
Is Sole Proprietor?:No
Enumeration Date:2014-08-13
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704240283363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care