Provider Demographics
NPI:1851834360
Name:CONWAY, OLIVIA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:
Last Name:CONWAY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:PAIGE
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 76
Mailing Address - Street 2:
Mailing Address - City:BROWNFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:15416-0076
Mailing Address - Country:US
Mailing Address - Phone:724-366-5603
Mailing Address - Fax:
Practice Address - Street 1:97 DELEWARE AVENUE
Practice Address - Street 2:SUITE 103
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3137
Practice Address - Country:US
Practice Address - Phone:724-873-1117
Practice Address - Fax:724-873-1118
Is Sole Proprietor?:No
Enumeration Date:2016-12-01
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily