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NPI Code Detail

MEDICARE: OLIVIA P RADCLIFFE APRN/PMH,BC

MEDICARE: OLIVIA P RADCLIFFE APRN/PMH,BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR095617MD

General Provider Information

NPI Number : 1487899167
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA P RADCLIFFE APRN/PMH,BC
Provider Business Mailing Address
First Line : 1740 YORK RD
Second Line : SUITE 309
City : LUTHERVILLE
State : MD
Zip : 21093-5606
Country : US
Telephone Number : 410-825-2281
Fax Number : 410-825-0757
Provider Business Practice Location Address
First Line : 1740 YORK RD
Second Line : SUITE 309
City : LUTHERVILLE
State : MD
Zip : 21093-5606
Country : US
Telephone Number : 410-825-2281
Fax Number : 410-825-0757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2008
Last Update Date : 10/17/2018

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