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NPI Code Detail

MEDICARE: STEPHANIE OLIVER NP-C

MEDICARE: STEPHANIE OLIVER NP-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
1363L00000XNurse Practitioner5008267NC
2363LF0000XFamily Nurse Practitioner239635NC

General Provider Information

NPI Number : 1336504018
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE OLIVER NP-C
Provider Business Mailing Address
First Line : 2600 N ELM ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-3011
Country : US
Telephone Number : 910-671-5367
Fax Number : 910-738-3764
Provider Business Practice Location Address
First Line : 302 MOUNT TABOR RD
Second Line : SUITE A
City : RED SPRINGS
State : NC
Zip : 28377-6415
Country : US
Telephone Number : 910-843-9991
Fax Number : 910-843-9995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2015
Last Update Date : 04/27/2017

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Directions to “ STEPHANIE OLIVER NP-C” Practice Location

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