Provider Demographics
NPI:1952872061
Name:SEOANES, OLGA LORENA (ARNP)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:LORENA
Last Name:SEOANES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:OLGA
Other - Middle Name:LORENA
Other - Last Name:SEOANES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:851 W SR 436 STE 1039
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3041
Mailing Address - Country:US
Mailing Address - Phone:407-571-9074
Mailing Address - Fax:407-571-9175
Practice Address - Street 1:155 LANDOVER PL
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4924
Practice Address - Country:US
Practice Address - Phone:407-777-4252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11000366363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS520652816040OtherSTATE LICENSE