Provider Demographics
NPI:1346761046
Name:ALVARADO, STEPHANIE BERNADETTE (RN)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:BERNADETTE
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 14TH AVE E APT G
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-5201
Mailing Address - Country:US
Mailing Address - Phone:206-963-3079
Mailing Address - Fax:
Practice Address - Street 1:111 14TH AVE E APT G
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5201
Practice Address - Country:US
Practice Address - Phone:206-963-3079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-03
Last Update Date:2017-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60575284163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse