Provider Demographics
NPI:1366013948
Name:ALANIS, GUADALUPE MARIE (CCHI, DSHS)
Entity Type:Individual
Prefix:
First Name:GUADALUPE
Middle Name:MARIE
Last Name:ALANIS
Suffix:
Gender:F
Credentials:CCHI, DSHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1252 LORENA PL
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-3258
Mailing Address - Country:US
Mailing Address - Phone:509-741-0082
Mailing Address - Fax:
Practice Address - Street 1:1252 LORENA PL
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3258
Practice Address - Country:US
Practice Address - Phone:509-741-0082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171R00000X
WA603208957171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA603208957OtherUBI