Individual
MRS. THERESE F OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
156 CORLISS AVE, SUITE 107, JOHNSON CITY, NY 13790-2060
(607) 763-6735
(607) 763-6736
Mailing address
40 FRONT ST, STE C, BINGHAMTON, NY 13905-4712
(607) 722-7264
(607) 722-7869
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4745811
NY
Other
Enumeration date
01/12/2011
Last updated
11/12/2021
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