Provider Demographics
NPI:1326145053
Name:ALIVERNINI, SEBRINA ANN (NP)
Entity Type:Individual
Prefix:
First Name:SEBRINA
Middle Name:ANN
Last Name:ALIVERNINI
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:3406 COLLEGE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4612
Mailing Address - Country:US
Mailing Address - Phone:409-730-2054
Mailing Address - Fax:409-813-1699
Practice Address - Street 1:3406 COLLEGE ST 100
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4612
Practice Address - Country:US
Practice Address - Phone:409-813-1677
Practice Address - Fax:409-813-1699
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2024-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX642550363LA2100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00147802OtherRAILROAD MEDICARE
TX168736001Medicaid
TXQ25543Medicare UPIN
TX8C6519Medicare PIN