# SUNFLOWER MOBILE & MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922713437
- **Authorized official:** ELIZABETH OLIS NP (CEO)
- **Authorized official phone:** (505) 920-5180

## Contact information

- **Practice address:** 1533 S SAINT FRANCIS DR STE A, SANTA FE, NM 87505-4032
- **Practice address phone:** (813) 484-2335
- **Practice address fax:** (949) 404-8999
- **Mailing address:** 1533 S SAINT FRANCIS DR STE A, SANTA FE, NM 87505-4032
- **Mailing address phone:** (505) 920-6421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2023
- **Last updated:** 02/25/2025