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NPI Code Detail

MEDICARE: JANELLE ALVAREZ PA-C

MEDICARE: JANELLE ALVAREZ PA-C
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 AssistantPA3142NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA3142OTHERNVSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548089766
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE ALVAREZ PA-C
Provider Business Mailing Address
First Line : 6355 S BUFFALO DR FL 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2133
Country : US
Telephone Number : 702-216-3346
Fax Number :
Provider Business Practice Location Address
First Line : 595 W LAKE MEAD PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89015-7015
Country : US
Telephone Number : 702-565-1007
Fax Number : 702-565-0836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2024
Last Update Date : 04/24/2026

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Directions to “ JANELLE ALVAREZ PA-C” Practice Location

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