Individual
OLIVIA CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
2009 ONEAL PL, PUEBLO, CO 81004-3880
(719) 406-6522
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0999548-NP
CO
Other
Enumeration date
03/01/2024
Last updated
04/01/2024
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