Nicole Renae Alvarez, PA-C
Individual provider Active NPI Medical Physician Assistant · Lansdowne, VA
NPI 1992013908 · NPPES record last updated Jan 26, 2016
Key facts
- NPI
- 1992013908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 0110003608 (VA)
- Practice address
- 44035 Riverside Pkwy
Suite 450
Lansdowne, VA 20176-8260 - Phone
- (703) 858-5885
- Fax
- (703) 858-5001
- NPI assigned
- Sep 24, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110003608 | VA | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110003608 | VA | Yes |
Addresses
Primary practice location
44035 Riverside Pkwy
Suite 450
Lansdowne, VA 20176-8260
Mailing address
PO Box 17334
Baltimore, MD 21297-1334
Phone (703) 443-6717
Other names
- Nicole Renae Westlund
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- Gabrielle L Anderson
- Seemi Andrabi
- Angela M. Santini, MD PC
- Maryam Kathrine Arena
All providers in Lansdowne, VA · Medical Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2016. 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.