Individual
JANET OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5270
(410) 601-9000
Mailing address
619 S PORT ST, BALTIMORE, MD 21224-3648
(571) 748-8349
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R204257
MD
163W00000X
Registered Nurse
RN1056862
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
R204257
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R204257
MARYLAND BOARD OF NURSING
MD
01
—
RN1056862
DISTRICT OF COLUMBIA BOARD OF NURSING
DC
Enumeration date
12/26/2020
Last updated
02/17/2022
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