Provider Demographics
NPI:1588132344
Name:NAVARRETE-MOTE, OLGA G (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:G
Last Name:NAVARRETE-MOTE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:OLGA
Other - Middle Name:G
Other - Last Name:MOTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:340 FOURTH AVE STE 7A
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-3813
Mailing Address - Country:US
Mailing Address - Phone:619-691-0388
Mailing Address - Fax:
Practice Address - Street 1:340 FOURTH AVE STE 7A
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-3813
Practice Address - Country:US
Practice Address - Phone:619-691-0388
Practice Address - Fax:619-691-0387
Is Sole Proprietor?:No
Enumeration Date:2018-11-08
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95010362363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner