Individual provider · NPI-1
Tiffany Genesis Alvarez, APRN
Nurse Practitioner, Adult Health · Henderson, NV
NPI number1891483780
StatusActive
Last updated in NPPESSep 7, 2023
Details
- NPI
- 1891483780
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Genesis Alvarez
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2023
- Certification date
- Sep 7, 2023
- Last updated
- Sep 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 857521 | NV | Yes |
| 207Q00000X | Family Medicine | 351173 | NY |
Practice location
2030 Olympic Ave Apt 2071Henderson, NV 89014-2283
Phone 347-435-6370
Mailing address
2800 E Desert Inn Rd Ste 100Las Vegas, NV 89121-3609
Phone 702-731-1616
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