Provider Demographics
NPI:1578242350
Name:OLAES, JOANNE RELOPEZ (NP)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:RELOPEZ
Last Name:OLAES
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 1:1104 CALLE DECEO
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-3349
Mailing Address - Country:US
Mailing Address - Phone:619-651-3275
Mailing Address - Fax:
Practice Address - Street 1:1104 CALLE DECEO
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-3349
Practice Address - Country:US
Practice Address - Phone:619-651-3275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95024606363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily