Individual provider · NPI-1

Lourdes Alvarez-Moreno, RN

Nurse Practitioner, Family · Burlington, VT

NPI number1174413892
StatusActive
Last updated in NPPESSep 4, 2026

Details

NPI
1174413892
Entity type
Individual (NPI-1)
Name
Lourdes Alvarez-Moreno
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Jul 4, 2025
Certification date
Sep 4, 2026
Last updated
Sep 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95041159CAYes

Practice location

128 Lakeside Ave Ste 260
Burlington, VT 05401-5911

Phone 802-657-7000 · Fax 802-657-7000

Mailing address

128 Lakeside Ave Ste 260
Burlington, VT 05401-5911

Phone 802-657-7000

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