Provider Demographics
NPI:1427834712
Name:ALVAREZ, VIVIAN MARIE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:VIVIAN
Middle Name:MARIE
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 HARTWELL CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-7936
Mailing Address - Country:US
Mailing Address - Phone:772-834-6917
Mailing Address - Fax:
Practice Address - Street 1:4749 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6942
Practice Address - Country:US
Practice Address - Phone:407-859-7239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028204363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily