Shawna Alvarez

Individual provider Active NPI Licensed Practical Nurse · Edmond, OK

NPI 1609686229 · NPPES record last updated Jan 8, 2025

Key facts

NPI
1609686229
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
L0050356 (OK)
Practice address
820 W 15TH St
Edmond, OK 73013-3621
Phone
(405) 858-1737
NPI assigned
Jan 8, 2025
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)
No

State licenses

LicenseStateTypeSpecialty
L0050356OKMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
164W00000X L0050356 OK Yes

Addresses

Primary practice location

820 W 15TH St
Edmond, OK 73013-3621

Mailing address

820 W 15TH St
Edmond, OK 73013-3621

Other providers in Edmond, OK

All providers in Edmond, OK · Licensed Practical Nurse in Oklahoma

Sources for this page

Verify at the official NPI Registry.