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NPI Code Detail

MEDICARE: MRS. DEBRA A. OLIVER MSN, APN, RN

MEDICARE: MRS. DEBRA A. OLIVER MSN, APN, RN
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
1363LF0000XFamily Nurse PractitionerNN085904NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457350035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBRA A. OLIVER MSN, APN, RN
Provider Business Mailing Address
First Line : 321 N WARREN ST
Second Line :
City : TRENTON
State : NJ
Zip : 08618-4741
Country : US
Telephone Number : 609-499-9313
Fax Number :
Provider Business Practice Location Address
First Line : 321 N WARREN ST
Second Line :
City : TRENTON
State : NJ
Zip : 08618-4741
Country : US
Telephone Number : 609-278-5900
Fax Number : 609-392-4827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 12/30/2010

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