Individual
ANDREA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
631 TILTON RD, NORTHFIELD, NJ 08225-1219
(609) 645-3005
(609) 645-0253
Mailing address
631 TILTON RD, NORTHFIELD, NJ 08225-1219
(609) 645-3005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00098900
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00098900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447307129
—
NJ
Enumeration date
05/25/2006
Last updated
08/03/2023
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