Provider Demographics
NPI:1841793486
Name:BLANCO ALVAREZ, NUVIA MIDALES
Entity Type:Individual
Prefix:
First Name:NUVIA
Middle Name:MIDALES
Last Name:BLANCO 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 1:355 E PRIMM BLVD APT 5473
Mailing Address - Street 2:
Mailing Address - City:JEAN
Mailing Address - State:NV
Mailing Address - Zip Code:89019-7050
Mailing Address - Country:US
Mailing Address - Phone:702-503-1099
Mailing Address - Fax:
Practice Address - Street 1:355 E PRIMM BLVD APT 5473
Practice Address - Street 2:
Practice Address - City:JEAN
Practice Address - State:NV
Practice Address - Zip Code:89019-7050
Practice Address - Country:US
Practice Address - Phone:702-503-1099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant