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NPI Code Detail

MEDICARE: MRS. BINH Q BUI OLIVER APRN

MEDICARE: MRS. BINH Q BUI OLIVER APRN
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 PractitionerRN127335GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN127335OTHERGAGA BOARD OF NURSING

General Provider Information

NPI Number : 1588637607
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BINH Q BUI OLIVER APRN
Provider Business Mailing Address
First Line : 4331 VINEYARD TRAIL
Second Line :
City : SNELLVILLE
State : GA
Zip : 30039
Country : US
Telephone Number : 770-972-5121
Fax Number : 770-972-5121
Provider Business Practice Location Address
First Line : 535 N CENTRAL AVE
Second Line :
City : HAPEVILLE
State : GA
Zip : 30354-1603
Country : US
Telephone Number : 404-761-4040
Fax Number : 404-761-4008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 03/04/2014

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