Healthcare Provider Details

I. General information

NPI: 1003215260
Provider Name (Legal Business Name): JULIE ANN ALVARADO NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE ANN CIARAVINO

II. Dates (important events)

Enumeration Date: 08/13/2014
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 PLEASANT GROVE RD
LANSING MI
48910-2410
US

IV. Provider business mailing address

2720 PLEASANT GROVE RD
LANSING MI
48910-2410
US

V. Phone/Fax

Practice location:
  • Phone: 517-575-9614
  • Fax: 877-370-2381
Mailing address:
  • Phone: 517-575-9614
  • Fax: 877-370-2381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number4704240283
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: