Provider Demographics
NPI:1053854307
Name:ALVAREZ, TANYA LOUISE (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:LOUISE
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6504 LA POSTA DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7333
Mailing Address - Country:US
Mailing Address - Phone:915-328-2533
Mailing Address - Fax:
Practice Address - Street 1:4845 ALAMEDA
Practice Address - Street 2:EL PASO CHILDREN'S HOSPITAL
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905
Practice Address - Country:US
Practice Address - Phone:915-298-5444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX703803363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics