Morales, Olivia Vasquez
Morales, Olivia Vasquez is an individual health care provider with primary practice located at 18077 Outer Hwy 18 Suite 100, Apple Valley CA 92307-2197. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Morales, Olivia Vasquez can be contacted via phone (760) 946-8169.Contact Information
Primary practice address
18077 Outer Hwy 18 Suite 100
Apple Valley CA 92307-2197
Phone: (760) 946-8169
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP 21123 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 21123 | California |
Profile Details
| NPI number | 1619246006 |
|---|---|
| LBN Legal business name | Morales, Olivia Vasquez |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2011 |
| Last updated | Jan 1st, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619246006 | NPPES |
| California | MEDICAID | EFFECTIVE 8/4/15 | |
| California | Other | DU4034-P01528407 | |
| California | Other | DU5182-P01528202 |
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