Brock, Olivia Anne

Brock, Olivia Anne is an individual health care provider with primary practice located at 1001 Saint Joseph Ln , London KY 40741-8345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Brock, Olivia Anne can be contacted via phone (859) 268-1030.

Contact Information

Primary practice address
1001 Saint Joseph Ln London KY 40741-8345
Phone: (859) 268-1030
Fax: (859) 269-4120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3014262 Kentucky

Profile Details

NPI number 1841821022
LBN Legal business name Brock, Olivia Anne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2020
Last updated Mar 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841821022 NPPES
Kentucky Other 3014262 KENTUCKY BOARD OF NURSING APRN LICENSE

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