Provider Demographics
NPI:1629748868
Name:DRESEL, OLIVIA ANN (APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ANN
Last Name:DRESEL
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11821 BEACON CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-6074
Mailing Address - Country:US
Mailing Address - Phone:502-475-7660
Mailing Address - Fax:
Practice Address - Street 1:231 MIDLAND PARK STE 201
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-9735
Practice Address - Country:US
Practice Address - Phone:502-257-8820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-19
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3016059363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily