Oliver, Mariza Diane

Oliver, Mariza Diane is an individual health care provider with primary practice located at 2150 N Expressway # 83 , Brownsville TX 78521-1561. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Oliver, Mariza Diane can be contacted via phone (956) 548-0810.

Contact Information

Primary practice address
2150 N Expressway # 83 Brownsville TX 78521-1561
Fax: (956) 544-7170
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 648970 Texas

Profile Details

NPI number 1477969848
LBN Legal business name Oliver, Mariza Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2014
Last updated Jan 28th, 2015 - about 11 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 1477969848 NPPES
Texas MEDICAID 339258101

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