Provider Demographics
NPI:1265322366
Name:ALVARADO, HEATHER HOWELL (AGPCNP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:HOWELL
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 CANUP RD
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-4501
Mailing Address - Country:US
Mailing Address - Phone:478-973-4988
Mailing Address - Fax:
Practice Address - Street 1:3333 JODECO RD
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-5319
Practice Address - Country:US
Practice Address - Phone:770-692-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN283051363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology