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NPI Code Detail

MEDICARE: OLIVIA NICHOLE HAFER APRN-CNP

MEDICARE:   OLIVIA NICHOLE HAFER  APRN-CNP
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 Practitioner0034303OH
2363L00000XNurse Practitioner4002407KY

General Provider Information

NPI Number : 1477244002
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA NICHOLE HAFER APRN-CNP
Provider Business Mailing Address
First Line : 1248 KINNEYS LN
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-2994
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1248 KINNEYS LN
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-2994
Country : US
Telephone Number : 740-356-7290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2023
Last Update Date : 02/12/2026

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Directions to “ OLIVIA NICHOLE HAFER APRN-CNP” Practice Location

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