Individual
MONSERAT OLMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
3166 S STATE HIGHWAY 161 STE 170, GRAND PRAIRIE, TX 75052-7720
(972) 212-6668
(469) 660-3011
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1061911
TX
363LP2300X
Primary Care Nurse Practitioner
1061911
TX
Other
Enumeration date
12/20/2021
Last updated
12/05/2022
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