Provider Demographics
NPI:1285973149
Name:NEAL, OLIVIA RAMBO (NP)
Entity type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:RAMBO
Last Name:NEAL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:3226 HAMPTON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4226
Mailing Address - Country:US
Mailing Address - Phone:912-264-0760
Mailing Address - Fax:912-261-1608
Practice Address - Street 1:3226 HAMPTON AVE STE A
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4226
Practice Address - Country:US
Practice Address - Phone:912-264-0760
Practice Address - Fax:912-261-1608
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN202198363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health