Individual
MARIA CAMILLE BACCI OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4414 CHURCHMAN AVE, LOUISVILLE, KY 40215-1152
(502) 588-6449
Mailing address
1854 FRANKFORT AVE APT 7, LOUISVILLE, KY 40206-3192
(502) 553-5371
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4011812
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2022
Last updated
05/13/2025
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