Oliver, Mary Kathryn

Oliver, Mary Kathryn is an individual health care provider with primary practice located at 200 Gleaves St Suite A, Madison TN 37115-2176. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Oliver, Mary Kathryn can be contacted via phone (615) 851-7865.

Contact Information

Primary practice address
200 Gleaves St Suite A Madison TN 37115-2176
Phone: (615) 851-7865
Fax: (615) 851-7866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 15587 Tennessee

Profile Details

NPI number 1487952917
LBN Legal business name Oliver, Mary Kathryn
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2011
Last updated Aug 7th, 2012 - about 14 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 1487952917 NPPES
Tennessee MEDICAID 1524067

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