Nick Alvis, RN
Individual provider Active NPI Registered Nurse · Lancaster, OH
NPI 1124333075 · NPPES record last updated Jul 25, 2012
Key facts
- NPI
- 1124333075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 380162 (OH)
- Practice address
- 817 Pennsylvania Ave
Lancaster, OH 43130-4260 - Phone
- (740) 641-0331
- NPI assigned
- Aug 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 380162 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 380162 | OH | Yes |
Addresses
Primary practice location
817 Pennsylvania Ave
Lancaster, OH 43130-4260
Mailing address
817 Pennsylvania Ave
Lancaster, OH 43130-4260
Phone (740) 641-0331
Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2012. 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.