Individual
KATY OLIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1200 E FAYETTE ST, BALTIMORE, MD 21202-4721
(443) 483-6150
(410) 396-7140
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 396-7140
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R183289
MD
Other
Enumeration date
05/07/2013
Last updated
03/05/2024
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