Provider Demographics
NPI:1518692771
Name:AGEE, OLYNA M (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:OLYNA
Middle Name:M
Last Name:AGEE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MS
Other - First Name:OLYNA
Other - Middle Name:M
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:160 12TH ST
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-4002
Mailing Address - Country:US
Mailing Address - Phone:775-934-6545
Mailing Address - Fax:
Practice Address - Street 1:160 12TH ST
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-4002
Practice Address - Country:US
Practice Address - Phone:775-372-7444
Practice Address - Fax:775-349-2166
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-21
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV856275363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily