Brandy Jean Olivarez, LVN
Licensed Vocational Nurse in San Antonio, TX. Individual provider (NPI-1).
NPI number1366074775
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1366074775
- Entity type
- Individual (NPI-1)
- Name
- Brandy Jean Olivarez
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2020
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 352194 | TX | Yes |
Practice location
7710 W Interstate 10San Antonio, TX 78230-4711
Phone 210-377-3355
Mailing address
7710 W Interstate 10San Antonio, TX 78230-4711
Phone 210-377-3355
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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