Individual
OLGA TARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
555 LEFFERTS AVE, BROOKLYN, NY 11225
(212) 803-3339
(646) 768-8600
Mailing address
555 LEFFERTS AVE, BROOKLYN, NY 11225-4543
(212) 803-3339
(646) 768-8600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
668773
NY
163W00000X
Registered Nurse
RN.1653083
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
308598
NY
363LA2200X
Adult Health Nurse Practitioner
APN.0993886-NP
CO
Other
Enumeration date
05/30/2018
Last updated
04/19/2019
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