Provider Demographics
NPI:1447840475
Name:ALVAREZ ANESTHESIA, APRN-CRNA, PLLC
Entity type:Organization
Organization Name:ALVAREZ ANESTHESIA, APRN-CRNA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:405-812-6025
Mailing Address - Street 1:39010 MACARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-2468
Mailing Address - Country:US
Mailing Address - Phone:405-585-2005
Mailing Address - Fax:
Practice Address - Street 1:39010 MACARTHUR ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-2468
Practice Address - Country:US
Practice Address - Phone:405-585-2005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-23
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty