Individual
OLIVIA JUSTINE STIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6302 HIGHWAY 44 E, SHEPHERDSVILLE, KY 40165-6816
(502) 215-6300
Mailing address
6302 HIGHWAY 44 E, SHEPHERDSVILLE, KY 40165-6816
(502) 215-6300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011486
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100480680
—
KY
01
—
K249870
MEDICARE
KY
Enumeration date
07/06/2017
Last updated
03/19/2025
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