Provider Demographics
NPI:1508437229
Name:ALVARADO, GABRIELLA MARISOL (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELLA
Middle Name:MARISOL
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:GABRIELLA
Other - Middle Name:MARISOL
Other - Last Name:SOLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:9587 WATERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:CA
Mailing Address - Zip Code:95953-9662
Mailing Address - Country:US
Mailing Address - Phone:530-788-6201
Mailing Address - Fax:
Practice Address - Street 1:1429 COLUSA HWY STE B
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-9456
Practice Address - Country:US
Practice Address - Phone:530-317-1909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-03
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017713363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty