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Individual

KRISTI MICHELLE OLIVARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, PNP

Contact information

Practice address
1314 E SONTERRA BLVD, #5102, SAN ANTONIO, TX 78258-4278
(210) 490-8888
(210) 496-6865
Mailing address
1314 E SONTERRA BLVD, #5102, SAN ANTONIO, TX 78258-4278
(210) 490-8888
(210) 496-6865

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
686313
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
686313
LISCENSE NUMBER
TX
Enumeration date
06/22/2009
Last updated
10/28/2015
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