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NPI Code Detail

MEDICARE: RAUDEL ALVAREZ APRN

MEDICARE: RAUDEL 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
1363LF0000XFamily Nurse Practitioner814484NV

General Provider Information

NPI Number : 1598130726
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAUDEL ALVAREZ APRN
Provider Business Mailing Address
First Line : 9266 QUARTZ HILLS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-6009
Country : US
Telephone Number : 786-322-0372
Fax Number :
Provider Business Practice Location Address
First Line : 2842 E LAKE MEAD BLVD STE A
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-6548
Country : US
Telephone Number : 702-790-1014
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2015
Last Update Date : 06/12/2025

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