Provider Demographics
NPI:1063014371
Name:ALVARADO, TETYANA (FNP)
Entity Type:Individual
Prefix:
First Name:TETYANA
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70365
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36107
Mailing Address - Country:US
Mailing Address - Phone:334-420-5001
Mailing Address - Fax:334-420-0146
Practice Address - Street 1:HEALTH SERVICES, INC RIVER REGION HEALTH CENTER
Practice Address - Street 2:1845 CHERRY STREET
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36107
Practice Address - Country:US
Practice Address - Phone:334-420-5001
Practice Address - Fax:334-420-0146
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-139037363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily