Healthcare Provider Details

I. General information

NPI: 1790223154
Provider Name (Legal Business Name): ALEITHE N ALVAREZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEITHE N ALVAREZ ARNP

II. Dates (important events)

Enumeration Date: 02/06/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1109 NE JENSEN BEACH BLVD
JENSEN BEACH FL
34957-4707
US

IV. Provider business mailing address

1109 NE JENSEN BEACH BLVD
JENSEN BEACH FL
34957
US

V. Phone/Fax

Practice location:
  • Phone: 772-225-2337
  • Fax: 772-225-2341
Mailing address:
  • Phone: 772-225-2337
  • Fax: 772-225-2341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9287401
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: