Julian Olivares, RN
Nurse Anesthetist, Certified Registered in Baltimore, MD. Individual provider (NPI-1).
NPI number1124698113
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1124698113
- Entity type
- Individual (NPI-1)
- Name
- Julian Olivares
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2021
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R165426 | MD | Yes |
Practice location
2401 W Belvedere AveBaltimore, MD 21215-5216
Phone 410-601-9000
Mailing address
619 S Port StBaltimore, MD 21224-3648
Phone 443-621-7769
Other practice locations
525 N Wolfe St
Baltimore, MD 21205-2110
Baltimore, MD 21205-2110
Phone 443-621-7769
5401 Old Court Rd
Randallstown, MD 21133-5103
Randallstown, MD 21133-5103
Phone 410-521-2200
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