Olds, Gretchen Elene

Olds, Gretchen Elene is an individual health care provider with primary practice located at 313 W Country Club Rd Ste 12 , Roswell NM 88201-5804. 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. Olds, Gretchen Elene can be contacted via phone (575) 627-5828.

Contact Information

Primary practice address
313 W Country Club Rd Ste 12 Roswell NM 88201-5804
Phone: (575) 627-5828
Fax: (575) 627-5835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN122840 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 122840 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 67156 New Mexico

Profile Details

NPI number 1528006095
LBN Legal business name Olds, Gretchen Elene
Credentials RN, APRN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jun 15th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528006095 NPPES
New Mexico MEDICAID 38626039

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