Provider Demographics
NPI:1396144523
Name:OLINGER, AUGUST SUMMER (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AUGUST
Middle Name:SUMMER
Last Name:OLINGER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:VA
Mailing Address - Zip Code:24557-4176
Mailing Address - Country:US
Mailing Address - Phone:434-656-2224
Mailing Address - Fax:434-656-3988
Practice Address - Street 1:305 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:VA
Practice Address - Zip Code:24557-4176
Practice Address - Country:US
Practice Address - Phone:434-656-2224
Practice Address - Fax:434-656-3988
Is Sole Proprietor?:No
Enumeration Date:2014-08-13
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001194797163WG0000X
VA0024171767363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1396144523Medicaid