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 codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health857521NVYes
207Q00000X Family Medicine351173NY

Practice location

2030 Olympic Ave Apt 2071
Henderson, NV 89014-2283

Phone 347-435-6370

Mailing address

2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609

Phone 702-731-1616

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