Individual
DIANNE VIRGINIA OLEKSIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-7008
Mailing address
PO BOX 64255, BALTIMORE, MD 21264-4255
(410) 933-3201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R069872
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402195900
—
MD
Enumeration date
05/19/2006
Last updated
06/16/2010
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