Olds, Gretchen Elene
Olds, Gretchen Elene is an individual health care provider with primary practice located at 313 W Country Club Rd Ste 12 , Roswell NM 88201-5804. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Olds, Gretchen Elene can be contacted via phone (575) 627-5828.Contact Information
Primary practice address
313 W Country Club Rd Ste 12
Roswell NM 88201-5804
Phone: (575) 627-5828
Fax: (575) 627-5835
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN122840 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 122840 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 67156 | New Mexico |
Profile Details
NPI number | 1528006095 |
---|---|
LBN Legal business name | Olds, Gretchen Elene |
Credentials | RN, APRN, NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 4th, 2006 |
Last updated | Jun 15th, 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 | 1528006095 | NPPES |
New Mexico | MEDICAID | 38626039 |
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