Provider Demographics
NPI:1790223154
Name:ALVAREZ, ALEITHE N (ARNP)
Entity Type:Individual
Prefix:
First Name:ALEITHE
Middle Name:N
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ALEITHE
Other - Middle Name:N
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1109 NE JENSEN BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957
Mailing Address - Country:US
Mailing Address - Phone:772-225-2337
Mailing Address - Fax:772-225-2341
Practice Address - Street 1:1109 NE JENSEN BEACH BLVD
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-4707
Practice Address - Country:US
Practice Address - Phone:772-225-2337
Practice Address - Fax:772-225-2341
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9287401363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily