Provider Demographics
NPI:1255490256
Name:ALVAREZ, NATALIE ELIZABETH (ANP)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:ELIZABETH
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 CORPORATE DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4312
Mailing Address - Country:US
Mailing Address - Phone:207-942-7648
Mailing Address - Fax:207-990-5583
Practice Address - Street 1:775 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WINTERPORT
Practice Address - State:ME
Practice Address - Zip Code:04496-3414
Practice Address - Country:US
Practice Address - Phone:207-223-5074
Practice Address - Fax:207-223-5953
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER04998363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health