Provider Demographics
NPI:1598375370
Name:ALVAREZ-HORWITH, IRMA M (PMHNP-BC, NP-C)
Entity Type:Individual
Prefix:
First Name:IRMA
Middle Name:M
Last Name:ALVAREZ-HORWITH
Suffix:
Gender:F
Credentials:PMHNP-BC, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13506 N ROME AVE UNIT 104
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-2027
Mailing Address - Country:US
Mailing Address - Phone:813-325-9148
Mailing Address - Fax:
Practice Address - Street 1:13506 N ROME AVE UNIT 104
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-2027
Practice Address - Country:US
Practice Address - Phone:813-325-9148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF07201179363LF0000X
FL2023061726363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty