Provider Demographics
NPI:1508544172
Name:AMES, SCHUYLER OLIVIA
Entity Type:Individual
Prefix:
First Name:SCHUYLER
Middle Name:OLIVIA
Last Name:AMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 MILSCOTT DR APT 2528
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6046
Mailing Address - Country:US
Mailing Address - Phone:410-227-9259
Mailing Address - Fax:
Practice Address - Street 1:7625 MAPLE LAWN BLVD STE 210
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2578
Practice Address - Country:US
Practice Address - Phone:301-543-6908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR228502163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse