Individual
TANEISHA CHANEL ALVAREZ
Active
Individual
TANEISHA CHANEL ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
1267553
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
14344804
VA
Other
Enumeration date
10/01/2018
Last updated
03/04/2019
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