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NPI Code Detail

MEDICARE: AMY R OLAYIWOLA PA-C

MEDICARE:   AMY R OLAYIWOLA  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantMA055791PA
2363A00000XPhysician AssistantMA055791PA

General Provider Information

NPI Number : 1093072670
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY R OLAYIWOLA PA-C
Provider Business Mailing Address
First Line : 1533 COMMERCE AVE STE 2
Second Line :
City : CARLISLE
State : PA
Zip : 17015-9128
Country : US
Telephone Number : 717-960-8956
Fax Number : 717-218-7557
Provider Business Practice Location Address
First Line : 1533 COMMERCE AVE STE 2
Second Line :
City : CARLISLE
State : PA
Zip : 17015-9128
Country : US
Telephone Number : 717-960-8956
Fax Number : 717-218-7557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2012
Last Update Date : 04/12/2023

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Directions to “ AMY R OLAYIWOLA PA-C” Practice Location

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