Provider Demographics
NPI:1841897212
Name:JUAREZ, OLIVIA SILVA (FNP-C)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:SILVA
Last Name:JUAREZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 GATEWAY WEST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-4413
Mailing Address - Country:US
Mailing Address - Phone:915-774-0458
Mailing Address - Fax:915-774-0027
Practice Address - Street 1:3515 GATEWAY WEST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-4413
Practice Address - Country:US
Practice Address - Phone:915-774-0458
Practice Address - Fax:915-774-0027
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF05201016363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily