Individual
REGINA OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2522 228TH ST, PASADENA, MD 21122-7206
(410) 439-3535
Mailing address
2522 228TH ST, PASADENA, MD 21122-7206
(410) 439-3535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R111573
MD
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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