Healthcare Provider Details

I. General information

NPI: 1386999597
Provider Name (Legal Business Name): ALANA MARGOT NEVARES M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COLCHESTER AVENUE UVM MEDICAL CENTER, DIVISION OF RHEUMATOLOGY
BURLINGTON VT
05401
US

IV. Provider business mailing address

111 COLCHESTER AVENUE UVM MEDICAL CENTER, DIVISION OF RHEUMATOLOGY
BURLINGTON VT
05401
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-4574
  • Fax: 802-847-9695
Mailing address:
  • Phone: 802-847-4574
  • Fax: 802-847-9695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125061175
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number042.0013872
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: