Individual
OLIVIA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
400 SHADOW LN STE 101, LAS VEGAS, NV 89106-4355
(702) 382-7760
(702) 382-7871
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN002558
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912423682
—
NV
01
—
APRN002558
STATE LICENSE
NV
Enumeration date
08/15/2017
Last updated
08/21/2023
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