Provider Demographics
NPI:1669958955
Name:LOMAS, OLIVIA (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:LOMAS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 WALDRON RD
Mailing Address - Street 2:
Mailing Address - City:CORP CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-4450
Mailing Address - Country:US
Mailing Address - Phone:361-937-5311
Mailing Address - Fax:
Practice Address - Street 1:1504 WALDRON RD
Practice Address - Street 2:
Practice Address - City:CORP CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-4450
Practice Address - Country:US
Practice Address - Phone:361-937-5311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX813455163W00000X
TX1097437363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1790847531Medicaid