Provider Demographics
NPI:1801592878
Name:ALVAREZ CONRRIQUEZ, ERIKA ASTRID (CRNP)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:ASTRID
Last Name:ALVAREZ CONRRIQUEZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 HORTON RD
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-2553
Mailing Address - Country:US
Mailing Address - Phone:256-860-0505
Mailing Address - Fax:256-629-6034
Practice Address - Street 1:1015 HORTON RD
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-2553
Practice Address - Country:US
Practice Address - Phone:256-860-0505
Practice Address - Fax:256-629-6034
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-164562363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily