Basic Information
Provider Information
NPI: 1043817026
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALEGADO
FirstName: LOVETTE
MiddleName: NOBLE
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3418 STONERIVER CT
Address2:  
City: PEARLAND
State: TX
PostalCode: 775812278
CountryCode: US
TelephoneNumber: 8325267337
FaxNumber:  
Practice Location
Address1: 6624 FANNIN ST STE 2200
Address2:  
City: HOUSTON
State: TX
PostalCode: 770302334
CountryCode: US
TelephoneNumber: 7137912648
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/03/2020
LastUpdateDate: 05/21/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/21/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP2300X1011140TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care

No ID Information.


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