Healthcare Provider Details

I. General information

NPI: 1528176518
Provider Name (Legal Business Name): MAUREEN C ALVAREZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 CHALKSTONE AVE
PROVIDENCE RI
02908-4734
US

IV. Provider business mailing address

1052 BUTTONWOODS AVE
WARWICK RI
02886-8300
US

V. Phone/Fax

Practice location:
  • Phone: 401-457-3045
  • Fax: 401-525-2549
Mailing address:
  • Phone: 401-738-2341
  • Fax: 401-525-2549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN10566
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: