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NPI Code Detail

MEDICARE: OLIVIA FLOREZ-BEARD

MEDICARE: OLIVIA FLOREZ-BEARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered NurseR43090NM
2163WS0200XSchool Registered Nurse380076NM

General Provider Information

NPI Number : 1568998839
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA FLOREZ-BEARD
Provider Business Mailing Address
First Line : PO BOX 155
Second Line :
City : ARTESIA
State : NM
Zip : 88211-0155
Country : US
Telephone Number : 575-748-6100
Fax Number : 575-748-6160
Provider Business Practice Location Address
First Line : 2218 W GRAND AVE
Second Line :
City : ARTESIA
State : NM
Zip : 88210-1624
Country : US
Telephone Number : 575-748-6100
Fax Number : 575-748-6160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2017
Last Update Date : 05/05/2017

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Directions to “ OLIVIA FLOREZ-BEARD ” Practice Location

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