Healthcare Provider Details

I. General information

NPI: 1801602305
Provider Name (Legal Business Name): OLIVIA GETZ CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 THE MEADOWS DR
CENTRE HALL PA
16828-9231
US

IV. Provider business mailing address

221 CHURCH HILL RD
CENTRE HALL PA
16828-8923
US

V. Phone/Fax

Practice location:
  • Phone: 814-364-2161
  • Fax:
Mailing address:
  • Phone: 814-933-6631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP031566
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: