Individual
LARK MICHELLE OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
600 EAST INTERSTATE 20, STANTON, TX 79782-0640
(432) 607-3200
(432) 607-3644
Mailing address
PO BOX 640, STANTON, TX 79782-0640
(432) 607-3200
(432) 607-3644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
34433
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
34433
TX
Other
Enumeration date
06/04/2020
Last updated
07/09/2025
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