Provider Demographics
NPI:1821684119
Name:NICOLAU ALVAREZ, LIENA (NPI)
Entity type:Individual
Prefix:
First Name:LIENA
Middle Name:
Last Name:NICOLAU ALVAREZ
Suffix:
Gender:
Credentials:NPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 ELDRIDGE PKWY STE 208
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2549
Mailing Address - Country:US
Mailing Address - Phone:281-679-9500
Mailing Address - Fax:
Practice Address - Street 1:1809 ELDRIDGE PKWY STE 208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2549
Practice Address - Country:US
Practice Address - Phone:281-679-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1016945163W00000X, 363LF0000X
NY803798163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily