Provider Demographics
NPI:1184467797
Name:ARTZ, OLIVIA HOPE (PA-C)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:HOPE
Last Name:ARTZ
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Gender:
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:121 TOWNE SQUARE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-9440
Mailing Address - Country:US
Mailing Address - Phone:717-988-8300
Mailing Address - Fax:717-221-5384
Practice Address - Street 1:121 TOWNE SQUARE DR STE 101
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-9440
Practice Address - Country:US
Practice Address - Phone:717-988-8300
Practice Address - Fax:717-221-5384
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-13
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOA006899363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty