Provider Demographics
NPI:1821741091
Name:ALVAREZ, SARAH LEANN
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LEANN
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13714 CABELLS MILL DR
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-1741
Mailing Address - Country:US
Mailing Address - Phone:703-851-9092
Mailing Address - Fax:
Practice Address - Street 1:13714 CABELLS MILL DR
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-1741
Practice Address - Country:US
Practice Address - Phone:703-851-9092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program