Provider Demographics
NPI:1912621947
Name:ALVAREZ, MONICA MARIA (FNP-C)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:MARIA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 N FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:GRIFFITH
Mailing Address - State:IN
Mailing Address - Zip Code:46319-3726
Mailing Address - Country:US
Mailing Address - Phone:219-743-6947
Mailing Address - Fax:
Practice Address - Street 1:3100 45TH ST STE 3
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-3277
Practice Address - Country:US
Practice Address - Phone:888-998-7337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71013187A363L00000X
INF09220989363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty