Provider Demographics
NPI:1043608102
Name:SALDIVAR, ORALIA B (FNP-C)
Entity Type:Individual
Prefix:
First Name:ORALIA
Middle Name:B
Last Name:SALDIVAR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6118 KATIE
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-1402
Mailing Address - Country:US
Mailing Address - Phone:325-650-1194
Mailing Address - Fax:
Practice Address - Street 1:271 FORT RICHARDSON AVE US 17TH MEDICAL GROUP
Practice Address - Street 2:GOODFELLOW AFB
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76908
Practice Address - Country:US
Practice Address - Phone:325-654-3138
Practice Address - Fax:325-654-3093
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-24
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126748363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily