ELIZABETH OLIS AGNP-BC CNP NPI 1346892866

NPI Information

NPI: 1346892866
Provider Name: ELIZABETH OLIS, AGNP-BC, CNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
1533 S SAINT FRANCIS DR STE A
SANTA FE, NM
ZIP 87505
Phone: (505) 920-6421
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Elizabeth Olis, AGNP-BC, CNP is a primary care nurse practitioner in Santa Fe, NM with 37 years of experience. Elizabeth Olis, AGNP-BC, CNP NPI is 1346892866. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1533 S SAINT FRANCIS DR STE A
SANTA FE, NM
ZIP 87505-032
Phone: (505) 920-6421
Fax: (833) 450-5254

The NPI 1346892866 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2019 and was last updated on 3/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	7202	MINNESOTA	No
2	363LA2200X	Nurse Practitioner	Adult Health	67457	NEW MEXICO	No
3	163W00000X	Registered Nurse		RN60233	LOUISIANA	No
4	363LA2200X	Nurse Practitioner	Adult Health	219309	LOUISIANA	No
5	363LG0600X	Nurse Practitioner	Gerontology	7202	MINNESOTA	No
6	363LG0600X	Nurse Practitioner	Gerontology	67457	NEW MEXICO	No
7	363LP2300X	Nurse Practitioner	Primary Care	67457	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02181964	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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