Provider Demographics
NPI:1609204528
Name:OLA, STECY (NP)
Entity Type:Individual
Prefix:
First Name:STECY
Middle Name:
Last Name:OLA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9547 ELIZABETH HOWE LN
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5914
Mailing Address - Country:US
Mailing Address - Phone:708-497-0734
Mailing Address - Fax:
Practice Address - Street 1:10806 REISTERSTOWN RD STE 1F
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4602
Practice Address - Country:US
Practice Address - Phone:708-497-0734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-31
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136046363LF0000X
MDAC002372363LF0000X
OR201703425NP-PP363LF0000X
WAAP60709181363LF0000X
OR201703425NP363LF0000X
COAPN0990903363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily