Individual
JEANNE M ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
STATE RD 571 BLDG #28, EL RITO, NM 87530-0237
(575) 581-4728
(575) 581-4731
Mailing address
#28 ON HIGHWAY 571, EL RITO, NM 87530-0237
(575) 581-4728
(575) 581-0030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-01421
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048305
ANTHEM STAR NUMBER
ME
05
—
4576021
—
NM
01
—
50008796
RAILROAD MEDICARE
ME
Enumeration date
06/21/2005
Last updated
03/23/2023
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