Provider Demographics
NPI:1073218491
Name:OLLIVIER, TORRI LYNNE (LPN)
Entity Type:Individual
Prefix:MS
First Name:TORRI
Middle Name:LYNNE
Last Name:OLLIVIER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 N STADIUM RD
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-1103
Mailing Address - Country:US
Mailing Address - Phone:419-704-3197
Mailing Address - Fax:419-698-1561
Practice Address - Street 1:1325 N STADIUM RD
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-1103
Practice Address - Country:US
Practice Address - Phone:419-704-3197
Practice Address - Fax:419-698-1561
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH184392164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse