Provider Demographics
NPI:1689001596
Name:OLIVE, ABBY SPITLER (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:SPITLER
Last Name:OLIVE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 CAHABA BEACH RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5225
Mailing Address - Country:US
Mailing Address - Phone:334-475-2462
Mailing Address - Fax:334-475-2466
Practice Address - Street 1:606 BOLL WEEVIL CIR
Practice Address - Street 2:SUITE A
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-2734
Practice Address - Country:US
Practice Address - Phone:334-475-2462
Practice Address - Fax:334-475-2466
Is Sole Proprietor?:No
Enumeration Date:2013-10-09
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-125532363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily