Marie Artisha Gallego Olsen, LVN

Individual provider Active NPI Licensed Vocational Nurse · Taft, CA

NPI 1902122849 · NPPES record last updated Apr 16, 2010

Key facts

NPI
1902122849
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
VN 221588 (CA)
Practice address
1021 4TH St Ste B
Taft, CA 93268-2433
Phone
(661) 758-4029
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
VN 221588CAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN 221588 CA Yes

Addresses

Primary practice location

1021 4TH St Ste B
Taft, CA 93268-2433

Mailing address

1021 4TH St Ste B
Taft, CA 93268-2433
Phone (661) 758-4029

Other providers in Taft, CA

All providers in Taft, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.