Provider Demographics
NPI:1558731034
Name:OLIVEIRA, JANICE M (CRNA)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:M
Last Name:OLIVEIRA
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:PO BOX 1823
Mailing Address - Street 2:ST MARY'S ANESTHESIA ASSOCIATES, P.A.
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04241-1823
Mailing Address - Country:US
Mailing Address - Phone:207-755-3715
Mailing Address - Fax:207-755-3728
Practice Address - Street 1:93 CAMPUS AVE
Practice Address - Street 2:ST MARY'S ANESTHESIA ASSOCIATES,P.A.
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6030
Practice Address - Country:US
Practice Address - Phone:207-755-3715
Practice Address - Fax:207-755-3728
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MERNA153024367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered