Olaf Russell Garcia
Nurse Practitioner, Gerontology in Aurora, CO. Individual provider (NPI-1).
NPI number1073178703
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1073178703
- Entity type
- Individual (NPI-1)
- Name
- Olaf Russell Garcia
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 8, 2019
- Certification date
- Aug 20, 2024
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | AP139504 | TX | Yes |
| 364SG0600X | Clinical Nurse Specialist, Gerontology | AP139504 | TX |
Practice location
2675 S Abilene St Ste 100Aurora, CO 80014-2363
Phone 720-507-4779 · Fax 833-941-5047
Mailing address
108 Twin Creek CirDripping Springs, TX 78620-3021
Phone 310-600-2751
Other practice locations
4495 Wandering Vine Trl
Round Rock, TX 78665-1266
Round Rock, TX 78665-1266
Phone 512-840-1158 · Fax 512-777-5974
14221 E 4th Ave Ste 2-126
Aurora, CO 80011-8735
Aurora, CO 80011-8735
Phone 720-507-4779 · Fax 833-941-5047
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