MEDICARE: DR. OLIVIA D'ANNIBALE PHD

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
1	247ZC0005X	Clinical Laboratory Director (Non-physician)

General Provider Information

NPI Number	:	1730987694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLIVIA D'ANNIBALE PHD

Provider Business Mailing Address
First Line	:	240 ALBERT SABIN WAY # 7016
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2842
Country	:	US
Telephone Number	:	513-803-7127
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 ALBERT SABIN WAY # 7016
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2842
Country	:	US
Telephone Number	:	513-803-7127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2025
Last Update Date	:	03/06/2025

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