Provider Demographics
NPI:1710875414
Name:GESWEIN, OLIVIA FAITH (PA-C)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:FAITH
Last Name:GESWEIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 SOUTHAVEN BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-7392
Mailing Address - Country:US
Mailing Address - Phone:765-427-7941
Mailing Address - Fax:
Practice Address - Street 1:2410 SOUTHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47909-7392
Practice Address - Country:US
Practice Address - Phone:765-427-7941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant