| Doctor Name: | COURTNEY OLAVARRIA |
| NPI Number: | 1083014971 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 28170763A |
| Business Practice Address: | 8915 West 93rd Avenue Clark Middle School Saint John, IN - 46373 |
| Business Phone Number: | 2193659203 |
| Business Fax Number: | |
| Mailing Address: | 8260 Wicker Ave, Lake Central School Corporation SAINT JOHN |
| State: | IN |
| Postal Code: | 46373 |
| Phone Number: | 2193658507 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2014 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 28170763A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |