Provider Demographics
NPI:1891217881
Name:OLGUIN, KARLA L
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:L
Last Name:OLGUIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8716 SAWGRASS PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-7230
Mailing Address - Country:US
Mailing Address - Phone:505-720-2820
Mailing Address - Fax:
Practice Address - Street 1:8716 SAWGRASS PL NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-7230
Practice Address - Country:US
Practice Address - Phone:505-720-2820
Practice Address - Fax:505-720-2820
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-11
Last Update Date:2017-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist