Individual
MIALA R OLIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 355-2300
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 353-3996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71003730
IN
363LF0000X
Family Nurse Practitioner
Primary
71003730A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201036980
—
IN
01
—
M400056851
MEDICARE PTAN
IN
Enumeration date
10/05/2011
Last updated
09/27/2023
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