Provider Demographics
NPI:1629335484
Name:ALVES, CHRISTEN MARIE (APN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTEN
Middle Name:MARIE
Last Name:ALVES
Suffix:
Gender:F
Credentials:APN, CPNP
Other - Prefix:
Other - First Name:CHRISTEN
Other - Middle Name:MARIE
Other - Last Name:LEFEBVRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:182 LYONS AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07112
Mailing Address - Country:US
Mailing Address - Phone:973-391-2960
Mailing Address - Fax:973-391-2970
Practice Address - Street 1:150 NEW PROVIDENCE ROAD
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092
Practice Address - Country:US
Practice Address - Phone:908-301-5491
Practice Address - Fax:908-301-5408
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY382273363LP0200X
NJ26NJ00371600363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics