AQUARIUS MEDICAL & WELLNESS CLINIC, LLC
NPI 1689472904
Nurse Practitioner - Primary Care in Santa Fe, NM

Active since March 04, 2025
6 CALLE MEDICO STE 4, SANTA FE, NM 87505(813) 484-2335(505) 395-9251 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aquarius Medical & Wellness Clinic, Llc NPPES

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

AQUARIUS MEDICAL & WELLNESS CLINIC, LLC (NPI 1689472904) is a healthcare organization registered as a primary care in Santa Fe, New Mexico and active in the NPI registry since March 2025. The organization lists Elizabeth Olis, Owner, as its authorized official.

NPPES Registry Identity

NPI1689472904
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameAQUARIUS MEDICAL & WELLNESS CLINIC, LLC
Location Address6 CALLE MEDICO STE 4Santa Fe, NM 87505-4761
Mailing Address6 Calle Medico Ste 4Santa Fe, NM 87505-4761 · (813) 484-2335 · Fax (505) 395-9251
Fax(505) 395-9251
Organization SubpartNo
Authorized OfficialElizabeth OlisOwner · (813) 484-2335
Enumeration DateMarch 4, 2025
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
NPI 1689472904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
6 CALLE MEDICO STE 4, Santa Fe, NM 87505

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Primary Care)
6 CALLE MEDICO STE 4
SANTA FE, NM 87505

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 Aquarius Medical & Wellness Clinic, LLC's NPI number?

The NPI number for Aquarius Medical & Wellness Clinic, LLC is 1689472904. It was assigned to this organization in the NPPES registry on March 4, 2025.

Where is Aquarius Medical & Wellness Clinic, LLC located?

Aquarius Medical & Wellness Clinic, LLC is located at 6 Calle Medico Ste 4, Santa Fe, NM 87505. The listed phone number is (813) 484-2335.

What is Aquarius Medical & Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Aquarius Medical & Wellness Clinic, LLC was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.