person
Mr. Timothy Ray Olive, ARNP
Adult Health Nurse Practitioner in Poteau, Oklahoma
NPI 1033418439

Timothy Ray Olive is an Adult Health Nurse Practitioner based in Poteau, OK and is specialized in Adult Health. Timothy Ray Olive practices in Poteau, OK and has the professional credentials of ARNP. The NPI Number for Timothy Ray Olive is 1033418439 and holds a License No. 77830 (Oklahoma).

The current practice location address for Timothy Ray Olive is 2011 N Broadway St, Poteau, OK and can be reached out via phone at 918-647-7416 and via fax at 918-647-3508. You can also correspond with Timothy Ray Olive through the mailing address at 2011 N BROADWAY ST, POTEAU, OK - 74953-2642 (mailing address contact number: 918-647-7416).

Location: 2011 N Broadway St, Poteau, OK, 74953-2642
person
Provider Profile Details
NPI Number
1033418439
Provider Name
Timothy Ray Olive
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
2011 N Broadway St, Poteau, OK, 74953-2642
Phone Number
918-647-7416
Fax Number
918-647-3508
Provider Enumeration Date
03/24/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
77830 01 OK NURSING LICENSE
institution
Provider Business Practice Location Address Details
Address
2011 N Broadway St
City
State
Zip
74953-2642
Phone Number
918-647-7416
Fax Number
918-647-3508
person
Provider Business Mailing Address Details
Address
2011 N Broadway St
City
State
Zip
74953-2642
Phone Number
918-647-7416
Fax Number
918-647-3508
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
77830 (Oklahoma)
Definition
Definition to come...
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