MEDICARE: ESTHER OLIVARES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	372600000X	Adult Companion	NV
2	376J00000X	Homemaker	NV
3	3747P1801X	Personal Care Attendant	NV

General Provider Information

NPI Number	:	1164181582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER OLIVARES

Provider Business Mailing Address
First Line	:	4745 PONY EXPRESS ST
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89031-0118
Country	:	US
Telephone Number	:	702-245-9172
Fax Number	:

Provider Business Practice Location Address
First Line	:	4745 PONY EXPRESS ST
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89031-0118
Country	:	US
Telephone Number	:	702-245-9172
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2021
Last Update Date	:	12/13/2021

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Directions to “ ESTHER OLIVARES ” Practice Location

Language	Start Address	Practice Location

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