MEDICARE: OLGA TARLTON NURSE PRACTITIONER IN ADULT HEALTH PLLC

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
1	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1821683061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLGA TARLTON NURSE PRACTITIONER IN ADULT HEALTH PLLC

Provider Business Mailing Address
First Line	:	5221 FOSTER AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-5919
Country	:	US
Telephone Number	:	718-443-2000
Fax Number	:	718-443-3000

Provider Business Practice Location Address
First Line	:	5221 FOSTER AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-5919
Country	:	US
Telephone Number	:	718-443-2000
Fax Number	:	718-443-3000

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OLGA TARLTON
Credential	:	NP
Telephone Number	:	718-864-5728

Provider Enumeration Date	:	03/09/2021
Last Update Date	:	03/09/2021

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