Fernandez, Olivia
Fernandez, Olivia is an individual health care provider with primary practice located at 400 Shadow Ln Ste 101 , Las Vegas NV 89106-4355. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Fernandez, Olivia can be contacted via phone (702) 382-7760.Contact Information
Primary practice address
400 Shadow Ln Ste 101
Las Vegas NV 89106-4355
Phone: (702) 382-7760
Fax: (702) 382-7871
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN002558 | Nevada |
Profile Details
NPI number | 1912423682 |
---|---|
LBN Legal business name | Fernandez, Olivia |
Credentials | AGNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2017 |
Last updated | Aug 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912423682 | NPPES |
Nevada | MEDICAID | 1912423682 | |
Nevada | Other | APRN002558 |
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