Individual
LORI ELLEN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
A005167
AR
Other
Enumeration date
08/11/2012
Last updated
10/25/2017
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