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NPI Code Detail

MEDICARE: MRS. ABBY MARIE ALVAREZ

MEDICARE:  MRS. ABBY MARIE ALVAREZ
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
1363A00000XPhysician Assistant50.004087OH
2363A00000XPhysician Assistant0010-05746NC
3363A00000XPhysician Assistant9477GA
4363A00000XPhysician Assistant3095TN
5363A00000XPhysician Assistant1549AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457753816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ABBY MARIE ALVAREZ
Provider Business Mailing Address
First Line : 5750 E HIGHWAY 90 STE 200
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-9113
Country : US
Telephone Number : 520-253-3383
Fax Number : 520-253-3383
Provider Business Practice Location Address
First Line : 5750 E HIGHWAY 90 STE 200
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-9113
Country : US
Telephone Number : 520-253-3383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2014
Last Update Date : 02/11/2026

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Directions to “ MRS. ABBY MARIE ALVAREZ ” Practice Location

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