Individual
KATRINA S OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9640 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2217
(505) 294-4167
Mailing address
3209 WALSH LOOP SE, RIO RANCHO, NM 87124-2963
(505) 934-1152
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
62694
NM
Other
Enumeration date
01/28/2021
Last updated
03/14/2024
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