Provider Demographics
NPI:1073005112
Name:OLIVIERI, MARGARET ANNE FIELDS
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE FIELDS
Last Name:OLIVIERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:A
Other - Last Name:FIELDS-OLIVIERI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:524 N BURROWES ST APT 6
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-3508
Mailing Address - Country:US
Mailing Address - Phone:973-714-5080
Mailing Address - Fax:
Practice Address - Street 1:524 N BURROWES ST APT 6
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-3508
Practice Address - Country:US
Practice Address - Phone:973-714-5080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program