Provider Demographics
NPI:1891412789
Name:ALVARENGA, ANA YANCI
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:YANCI
Last Name:ALVARENGA
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 1:4513 APEX LN
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1571
Mailing Address - Country:US
Mailing Address - Phone:301-825-6903
Mailing Address - Fax:
Practice Address - Street 1:116 MICHIGAN AVENUE
Practice Address - Street 2:
Practice Address - City:NORTH EAST
Practice Address - State:DC
Practice Address - Zip Code:20027
Practice Address - Country:US
Practice Address - Phone:202-839-6094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion