MEDICARE: JOHANNA C ALVAREZ APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11020856	FL

General Provider Information

NPI Number	:	1255066825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHANNA C ALVAREZ APRN

Provider Business Mailing Address
First Line	:	290 NICHOLAS PKWY NW STE 1
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-3804
Country	:	US
Telephone Number	:	239-573-1152
Fax Number	:	239-573-1360

Provider Business Practice Location Address
First Line	:	290 NICHOLAS PKWY NW STE 1
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-3804
Country	:	US
Telephone Number	:	239-573-1152
Fax Number	:	239-573-1360

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2022
Last Update Date	:	05/05/2026

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