Provider Demographics
NPI:1912419383
Name:OLIVER, ELIZABETH LYNN (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LYNN
Last Name:OLIVER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 645532
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15264-5253
Mailing Address - Country:US
Mailing Address - Phone:740-792-4220
Mailing Address - Fax:740-275-4472
Practice Address - Street 1:243 THREE SPRINGS DR STE 5A
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-3839
Practice Address - Country:US
Practice Address - Phone:740-792-4220
Practice Address - Fax:740-275-4472
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-25
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH349075163W00000X
PASP022061363LF0000X
WVAPRN90483363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse