Individual
MARGARET OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
5413 BACKLICK RD STE A, SPRINGFIELD, VA 22151-3915
(703) 256-1600
Mailing address
5413 BACKLICK RD STE A, SPRINGFIELD, VA 22151-3915
(703) 256-1600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024186613
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
18055
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3519357-01
—
TX
01
—
715263
MEDICARE
TX
01
—
8KB489
BCBS
TX
Enumeration date
10/24/2013
Last updated
10/23/2023
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