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Individual

DIANA MARIE OLIVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212
(573) 882-2568
(573) 882-2226
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 882-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
109799
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2018010127
MO

Other

Enumeration date
04/05/2016
Last updated
11/20/2018
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