MEDICARE: FELICIA OLIVER

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	163W00000X	Registered Nurse	RN.436865	OH

General Provider Information

NPI Number	:	1942097738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA OLIVER

Provider Business Mailing Address
First Line	:	3936 ORCHARD RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44121-2412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3936 ORCHARD RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44121-2412
Country	:	US
Telephone Number	:	216-956-0931
Fax Number	:

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

Provider Enumeration Date	:	04/23/2025
Last Update Date	:	05/03/2025

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Directions to “ FELICIA OLIVER ” Practice Location

Language	Start Address	Practice Location

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