Provider Demographics
NPI:1447069760
Name:ALVAREZ, EMILY MICHELLE (FNP-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MICHELLE
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 1:1631 CHICKASAW PL NE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-6622
Mailing Address - Country:US
Mailing Address - Phone:336-520-4820
Mailing Address - Fax:
Practice Address - Street 1:1631 CHICKASAW PL NE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-6622
Practice Address - Country:US
Practice Address - Phone:336-520-4820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-01
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024191858363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily