Doctor Name: | BEVERLY JOYCE OLIVER |
NPI Number: | 1023197704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN086454 |
Business Practice Address: | 509 N Madison St Bloomfield, IA - 525371271 |
Business Phone Number: | 6416642145 |
Business Fax Number: | 6416642176 |
Mailing Address: | 509 N Madison St, BLOOMFIELD |
State: | IA |
Postal Code: | 525371271 |
Phone Number: | 6416642145 |
Fax Number: | 6416642176 |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 07/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | RN086454 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |