OLOWAN D DEHERRERA RN
NPI 1447410196
Registered Nurse - Community Health in San Fidel, NM

Q: What is Olowan Deherrera's NPI number?

The NPI number for Olowan Deherrera is 1447410196. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Q: What is Olowan Deherrera's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

Q: When was this NPI record last updated?

The NPPES record for Olowan Deherrera was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 16, 2008

I-40 EXIT 102, ACL PHS INDIAN HOSPITAL, SAN FIDEL, NM 87049(505) 552-5324(505) 552-5490 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Olowan D Deherrera Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLOWAN D DEHERRERA RN (NPI 1447410196) is an individual community health provider in San Fidel, New Mexico, licensed in New Mexico (R64117) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1447410196

Entity TypeIndividualFemale

Primary Taxonomy163WC1500X

Provider Legal NameOLOWAN D DEHERRERACredential: RN

Location AddressI-40 EXIT 102, ACL PHS INDIAN HOSPITALSan Fidel, NM 87049-0130

Mailing AddressPo Box 130San Fidel, NM 87049-0130 · (505) 552-5324 · Fax (505) 552-5490

Phone(505) 552-5324

Fax(505) 552-5490

Sole ProprietorNo

Enumeration DateJune 16, 2008

✔ NPI 1447410196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers

Taxonomy Code163WC1500X

License✔ Licensed in NM · R64117

I-40 EXIT 102, San Fidel, NM 87049

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Other Identifiers 1

OtherR64117NM · Nursing

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER JEANNE LYON PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

I-40 EXIT 102
SAN FIDEL, NM 87049

Cibola County (505) 552-5395

MS. MELISSA Y WYACO RN

Registered Nurse (Community Health)

I-40 EXIT 102
SAN FIDEL, NM 87049

Cibola County (505) 552-5324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olowan Deherrera's NPI number?

The NPI number for Olowan Deherrera is 1447410196. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Olowan Deherrera located?

Olowan Deherrera practices at I-40 Exit 102 Acl Phs Indian Hospital, San Fidel, NM 87049. The listed phone number is (505) 552-5324.

What is Olowan Deherrera's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Olowan Deherrera was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.