Individual
MRS. OLIVIA MAGGITTI VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(512) 447-2211
Mailing address
1333 SHORE DISTRICT DR APT 1437, AUSTIN, TX 78741-1313
(610) 223-1651
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN9398742
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP140747
TX
Other
Enumeration date
09/28/2018
Last updated
08/19/2019
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