Individual
MRS. MAYRA VANESSA ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2420 W BASELINE RD, TEMPE, AZ 85283-1040
(480) 262-4195
Mailing address
PO BOX 4534, MESA, AZ 85211-4534
(480) 262-4195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
247217
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D00861879
—
AZ
Enumeration date
09/08/2020
Last updated
09/08/2020
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