Provider Demographics
NPI:1124432588
Name:ALVARADO, BLANCA ESTELA (RN BSN)
Entity type:Individual
Prefix:MRS
First Name:BLANCA
Middle Name:ESTELA
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:203 WEDGEWOOD DR
Mailing Address - Street 2:203 WEDGEWOOD
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2731
Mailing Address - Country:US
Mailing Address - Phone:956-319-1487
Mailing Address - Fax:956-795-8386
Practice Address - Street 1:2322 DON BETO
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2015
Practice Address - Country:US
Practice Address - Phone:956-319-1487
Practice Address - Fax:956-795-8386
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2015-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider