Individual
NICOLE RENAE ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44035 RIVERSIDE PKWY, SUITE 450, LANSDOWNE, VA 20176-8260
(703) 858-5885
(703) 858-5001
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003608
VA
Other
Enumeration date
09/24/2010
Last updated
01/26/2016
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