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
Fax: (702) 382-7871
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912423682 NPPES
Nevada MEDICAID 1912423682
Nevada Other APRN002558

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