Provider Demographics
NPI:1083941520
Name:ALVARADO, ROBIN SUZANNE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:SUZANNE
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 1:600 INTERSTATE 20 EAST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:STANTON
Mailing Address - State:TX
Mailing Address - Zip Code:79782
Mailing Address - Country:US
Mailing Address - Phone:432-607-3243
Mailing Address - Fax:432-607-3298
Practice Address - Street 1:600 INTERSTATE 20 EAST
Practice Address - Street 2:SUITE 104
Practice Address - City:STANTON
Practice Address - State:TX
Practice Address - Zip Code:79782
Practice Address - Country:US
Practice Address - Phone:432-607-3243
Practice Address - Fax:432-607-3298
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX666342363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily