IndividualActive
Lark Olivas, FNP-C
NPI 1659995645 · Psychiatric/Mental Health Nurse Practitioner · Stanton, TX
Provider details
- NPI number
- 1659995645
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 34433 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
600 East Interstate 20
Stanton, TX 79782-0640
Phone: (432) 607-3200
Fax: (432) 607-3644
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 640
Stanton, TX 79782-0640
Additional practice locations (1)
- 600 East Interstate 20D104Stanton, TX 79782Phone: (432) 607-3243Fax: (432) 607-3298
Registry dates
- Enumerated
- 2020-06-04
- Last updated
- 2025-07-09
- Certified
- 2025-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.