Provider Demographics
NPI:1063514198
Name:OLIVER, REBECCA ELIZABETH (RN/FNP-C)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ELIZABETH
Last Name:OLIVER
Suffix:
Gender:F
Credentials:RN/FNP-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6700 RIDGE TOP DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-3913
Mailing Address - Country:US
Mailing Address - Phone:915-755-4412
Mailing Address - Fax:
Practice Address - Street 1:3706 RIVERA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2505
Practice Address - Country:US
Practice Address - Phone:915-533-7057
Practice Address - Fax:915-533-7197
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA622661163WG0000X
TX704354363LF0000X
CA16266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily