| Doctor Name: | LEISA ANGELINA OLIVIERI |
| NPI Number: | 1558694968 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 690209 |
| Business Practice Address: | 891 Mountain Ranch Rd San Andreas, CA - 952499713 |
| Business Phone Number: | 2097681464 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 62, SAN ANDREAS |
| State: | CA |
| Postal Code: | 95249 |
| Phone Number: | 2097681464 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2009 |
| NPI Last Update Date: | 12/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 690209 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |