COURTNEY OLAVARRIA


Address: 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373
Phone: 2193659203

COURTNEY OLAVARRIA (NPI# 1083014971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083014971
Entity Type Individual
Full Name COURTNEY OLAVARRIA
Credential RN
Practice Address 8915 West 93rd Avenue
Clark Middle School
Saint John
IN 46373
Mailing Address 8260 Wicker Ave
Lake Central School Corporation
Saint John
IN 46373
Practice Telephone 2193659203
Mailing Telephone 2193658507
Enumeration Date 2014-08-27
Last Update Date 2014-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
28170763A IN Nursing Service Providers

Office Location

Street Address 8915 WEST 93RD AVENUE
CLARK MIDDLE SCHOOL
City SAINT JOHN
State IN
Zip Code 46373

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1023641123 Lisa A Arteaga Occupational Therapy Assistant 10700 Park Place of St John, St John, IN 46373 2020-02-17
1306493507 Athletico Ltd Physical Therapist 10081 Wicker Ave #4, Saint John, IN 46373 2019-08-22
1316368111 Tracy Lynn Wargo Registered Nurse 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 2013-12-20
1245587989 Joshua Dejong Physical Therapist 10200 Wicker Ave Ste 1, Saint John, IN 46373 2012-08-13
1053406629 Corlin Alden Stein Chiropractor 9161 Wicker Avenue (us 41), St. John, IN 46373 2006-10-03
1235190216 Tarak R Chokshi Internal Medicine 10200 Wicker Avenue, St John, IN 46373 2006-03-30
1154397057 Norbert A Matulis Dentist 9207 Wicker Avenue, St John, IN 46373 2006-02-28
1568462729 Keith R. Pitchford Orthopaedic Surgery 9615 Keilman Street, Saint John, IN 46373 2005-07-28
1528483021 Creating Smiles PC Dentist 8217 Wicker Ave, St John, IN 46373 2014-02-20
1932521762 Linda Joy Zandstra Registered Nurse 8400 Wicker Ave, Lake Central High School, St. John, IN 46373 2014-01-14
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174087555 Danielle Lynn Samuelson Registered Nurse 1031 W Briarcliff Dr, Bloomington, IN 47404-1707 2019-01-30

Competitor

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City SAINT JOHN
Zip Code 46373

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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