Individual
MR. TIMOTHY RAY OLIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2011 N BROADWAY ST, POTEAU, OK 74953-2642
(918) 647-7416
(918) 647-3508
Mailing address
2011 N BROADWAY ST, POTEAU, OK 74953-2642
(918) 647-7416
(918) 647-3508
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
77830
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77830
NURSING LICENSE
OK
Enumeration date
03/24/2011
Last updated
02/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us