Individual
WHITNEY LEE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1102 NW LOWES AVE, BENTONVILLE, AR 72712-8093
(792) 254-8563
(479) 254-8564
Mailing address
1102 NW LOWES AVE, BENTONVILLE, AR 72712-8093
(479) 254-8563
(479) 254-8564
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-963
AR
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
08/05/2019
Last updated
11/23/2021
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