Individual
OLIVIA LAIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RN
Contact information
Practice address
8595 PELHAM RD, GREENVILLE, SC 29615-5759
(864) 316-8984
Mailing address
418 BLUE ELDERBERRY RUN, MONCKS CORNER, SC 29461-2908
(914) 282-4190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
729679
NY
363LF0000X
Family Nurse Practitioner
353419
NY
363LF0000X
Family Nurse Practitioner
Primary
5428634
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420795
—
NY
Enumeration date
06/13/2017
Last updated
07/13/2024
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