Provider Demographics
NPI:1023795705
Name:ALVAREZ, CHELSEA ADILIA (MPH, RDN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ADILIA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4912 LEDESMA RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78721-2508
Mailing Address - Country:US
Mailing Address - Phone:425-327-0044
Mailing Address - Fax:
Practice Address - Street 1:4912 LEDESMA RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78721-2508
Practice Address - Country:US
Practice Address - Phone:425-327-0044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86169475133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered