Lydia Corazon Samin Alvarez, DNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Chandler, AZ
NPI 1104234574 · NPPES record last updated Mar 18, 2021
Key facts
- NPI
- 1104234574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP5730 (AZ)
- Practice address
- 4742 W Oakland St
Chandler, AZ 85226-2926 - Phone
- (480) 628-2042
- NPI assigned
- Jul 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP5730 | AZ | Yes |
Addresses
Primary practice location
4742 W Oakland St
Chandler, AZ 85226-2926
Mailing address
4742 W Oakland St
Chandler, AZ 85226-2926
Phone (480) 628-2042
Other providers in Chandler, AZ
- Stephanie Altura
- Jocelyne Alvarado Gamez
- Yulene Alvarado
- Jazmin Pantoja Alvarez
- Linda Marie Alvarez
- Marika Deshiya Alvarez
- Salome Alvarez
- Abigail Frigillana Alviar
- Tiba Alwardi
- Always Family Homecare
All providers in Chandler, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.