Provider Demographics
NPI:1528659091
Name:OLIPHANT, MARCHA L (APN)
Entity type:Individual
Prefix:MS
First Name:MARCHA
Middle Name:L
Last Name:OLIPHANT
Suffix:
Gender:F
Credentials:APN
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Mailing Address - Street 1:51 JOHN F KENNEDY PKWY FL 1
Mailing Address - Street 2:C/O MARCHA OLIPHANT
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2713
Mailing Address - Country:US
Mailing Address - Phone:551-246-1536
Mailing Address - Fax:888-974-2142
Practice Address - Street 1:51 JOHN F KENNEDY PKWY FL 1
Practice Address - Street 2:C/O MARCHA OLIPHANT
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-2713
Practice Address - Country:US
Practice Address - Phone:551-246-1536
Practice Address - Fax:551-202-7554
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2022-07-17
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01109600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NJ01109600OtherNJ BON
NJ26NR15972000OtherNJ BON