Individual
TAMECA LASHA OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1304 13TH AVE SE, DECATUR, AL 35601-4359
(800) 508-7481
Mailing address
109 DELILAH LN, MADISON, AL 35756-3580
(501) 563-7684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-184336
AL
363LF0000X
Family Nurse Practitioner
A004939
AR
Other
Enumeration date
08/31/2019
Last updated
09/21/2021
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