Individual
CHARISSE ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
510 NW 104TH AVE, PLANTATION, FL 33324
(954) 655-6636
Mailing address
873 COLMORE TRL, LYMAN, SC 29365-8600
(954) 655-6636
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN9412287
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN9412287
FL
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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