Individual
DIANE RUTH ALVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1338 PHAY AVE, CANON CITY, CO 81212-2302
(719) 285-2800
(719) 285-2801
Mailing address
4112 OUTLOOK BLVD, SUITE 37, PUEBLO, CO 81008-1667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14826
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14826
ANCC
—
01
—
81641
RN
CO
Enumeration date
03/18/2009
Last updated
03/02/2010
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