Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 23626 | SC |
NPI | 1295288421 |
---|---|
Provider Name | Elizabeth Alvarez |
First Address | Charlottesville, VA 22908-0547 |
Second Address | Charleston, SC 29401-1113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2016 |
Last Update Date | 18/05/2020 |