Individual
MYLANDA OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1602 AVENUE Q, LUBBOCK, TX 79401-4732
(469) 809-6712
Mailing address
115 BROWNFIELD DR, EKRON, KY 40117-8658
(270) 272-2843
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
4001426
KY
363L00000X
Nurse Practitioner
Primary
4001426
KY
Other
Enumeration date
05/08/2023
Last updated
02/26/2024
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