Healthcare Provider Details

I. General information

NPI: 1366337321
Provider Name (Legal Business Name): JULIET OLAPE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 PUERTO AZUL TRL
HENDERSON NV
89074-8106
US

IV. Provider business mailing address

71 PUERTO AZUL TRL
HENDERSON NV
89074-8106
US

V. Phone/Fax

Practice location:
  • Phone: 916-792-6157
  • Fax:
Mailing address:
  • Phone: 916-792-6157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number872274
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: