NPI 1619793825 · live from the CMS NPI Registry
Mila Vae Alvarez
Nurse Practitioner, Gerontology in Oklahoma City, OK. National Provider Identifier 1619793825, active.
NPI record
| NPI | 1619793825 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Gerontology 363LG0600X |
| Practice location | 700 Ne 13th St, Oklahoma City, OK 73104 |
| Practice phone | 405-271-4700 |
| Mailing address | 15400 Avalon Ln, Edmond, OK 73013 |
| Enumerated | December 3, 2024 |
| Last updated | December 3, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Gerontology primary | 363LG0600X | 206686 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.