Healthcare Provider Details

I. General information

NPI: 1629335484
Provider Name (Legal Business Name): CHRISTEN MARIE ALVES APN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTEN MARIE LEFEBVRE

II. Dates (important events)

Enumeration Date: 04/18/2012
Last Update Date: 03/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 NEW PROVIDENCE ROAD
MOUNTAINSIDE NJ
07092
US

IV. Provider business mailing address

182 LYONS AVENUE
NEWARK NJ
07112
US

V. Phone/Fax

Practice location:
  • Phone: 908-301-5491
  • Fax: 908-301-5408
Mailing address:
  • Phone: 973-391-2960
  • Fax: 973-391-2970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number382273
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number26NJ00371600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: