Provider Demographics
NPI:1376774612
Name:OLIVER, CATRINA NICOLE (RN)
Entity Type:Individual
Prefix:
First Name:CATRINA
Middle Name:NICOLE
Last Name:OLIVER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5270 PONDEROSA DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-7724
Mailing Address - Country:US
Mailing Address - Phone:513-961-0615
Mailing Address - Fax:
Practice Address - Street 1:5270 PONDEROSA DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-7724
Practice Address - Country:US
Practice Address - Phone:513-961-0615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 308268163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse