Individual
MS. JUANITA DAISY ALVAREZ-HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5000
Mailing address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
74124
NE
363LF0000X
Family Nurse Practitioner
Primary
111972
NE
363LF0000X
Family Nurse Practitioner
A142915
IA
Other
Enumeration date
01/07/2016
Last updated
06/19/2016
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