Individual
ROSANNA ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17432 W ELAINE DR, GOODYEAR, AZ 85338
(602) 684-6154
Mailing address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP030081
AZ
253J00000X
Foster Care Agency
Primary
7649399
AZ
385HR2055X
Child Mental Illness Respite Care
7649399
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7649399
—
AZ
Enumeration date
02/15/2018
Last updated
03/19/2020
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