Provider Demographics
NPI:1437701000
Name:TEXTORIS, OLGA A (NP)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:A
Last Name:TEXTORIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 S 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-2734
Mailing Address - Country:US
Mailing Address - Phone:720-352-8067
Mailing Address - Fax:
Practice Address - Street 1:9351 GRANT ST.
Practice Address - Street 2:ST 480
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-8022
Practice Address - Country:US
Practice Address - Phone:720-759-4433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-12
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994771-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily