Provider Demographics
NPI:1588282149
Name:ALVAREZ, ARMANDA LYNN (FNP)
Entity type:Individual
Prefix:MRS
First Name:ARMANDA
Middle Name:LYNN
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35171 HERITAGE POINTE DR
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-3608
Mailing Address - Country:US
Mailing Address - Phone:562-412-9363
Mailing Address - Fax:
Practice Address - Street 1:44054 MARGARITA RD STE 1
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-2737
Practice Address - Country:US
Practice Address - Phone:951-302-2526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014835363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily