Organization
AQUARIUS MEDICAL & WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH OLIS CNP (OWNER)
(813) 484-2335
Entity
Organization
Contact information
Practice address
6 CALLE MEDICO STE 4, SANTA FE, NM 87505-4761
(813) 484-2335
(505) 395-9251
Mailing address
6 CALLE MEDICO STE 4, SANTA FE, NM 87505-4761
(813) 484-2335
(505) 395-9251
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
07/21/2025
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