Provider Demographics
NPI:1982841094
Name:ALVARO, DEVON MICHAL (RN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:MICHAL
Last Name:ALVARO
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 INSTITUTE RD
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-2247
Mailing Address - Country:US
Mailing Address - Phone:508-831-5520
Mailing Address - Fax:508-831-5953
Practice Address - Street 1:32 HACKFELD ROAD
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-2280
Practice Address - Country:US
Practice Address - Phone:508-831-5520
Practice Address - Fax:508-831-5953
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA272469363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily