Healthcare Provider Details

I. General information

NPI: 1578215398
Provider Name (Legal Business Name): ANNIKA ALVAREZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2022
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 RAINBOW VALLEY BLVD
FALLBROOK CA
92028-9774
US

IV. Provider business mailing address

474 W VERMONT AVE STE 104
ESCONDIDO CA
92025-6584
US

V. Phone/Fax

Practice location:
  • Phone: 760-696-5076
  • Fax:
Mailing address:
  • Phone: 760-432-9884
  • Fax: 760-888-2136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95019539
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10009342
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95019539
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN-4823
License Number StateHI
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61430795
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: