Provider Demographics
NPI:1346690617
Name:ROJAS, OLGA (LPN)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:ROJAS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 WOLCOTT ST
Mailing Address - Street 2:201B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-1556
Mailing Address - Country:US
Mailing Address - Phone:347-262-8262
Mailing Address - Fax:
Practice Address - Street 1:79 WOLCOTT ST
Practice Address - Street 2:201B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-1556
Practice Address - Country:US
Practice Address - Phone:347-262-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY277294164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse