Provider Demographics
NPI:1952290165
Name:OLACO, CRYSTY-ANN
Entity type:Individual
Prefix:
First Name:CRYSTY-ANN
Middle Name:
Last Name:OLACO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 N MLK BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-2825
Mailing Address - Country:US
Mailing Address - Phone:702-967-0530
Mailing Address - Fax:
Practice Address - Street 1:1240 N MLK BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-2825
Practice Address - Country:US
Practice Address - Phone:702-967-0530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program