Provider Demographics
NPI:1700459732
Name:ALVIAR, SYDNIE JAYNE (NP)
Entity Type:Individual
Prefix:
First Name:SYDNIE
Middle Name:JAYNE
Last Name:ALVIAR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 W GILES RD
Mailing Address - Street 2:
Mailing Address - City:N MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49445-1160
Mailing Address - Country:US
Mailing Address - Phone:231-638-8288
Mailing Address - Fax:
Practice Address - Street 1:2006 HOLTON RD STE 200
Practice Address - Street 2:
Practice Address - City:NORTH MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49445-1505
Practice Address - Country:US
Practice Address - Phone:231-672-3333
Practice Address - Fax:231-672-6520
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704315105363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily