Provider Demographics
NPI:1649370040
Name:OLIVER, DAVID K (RN, CNN, CRNI)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:K
Last Name:OLIVER
Suffix:
Gender:M
Credentials:RN, CNN, CRNI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14217 NORTHWYN DRIVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904
Mailing Address - Country:US
Mailing Address - Phone:301-236-9881
Mailing Address - Fax:
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:BLDG 9, 1ST FLOOR, NEPHROLOGY CLINIC
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5600
Practice Address - Country:US
Practice Address - Phone:301-295-7812
Practice Address - Fax:301-400-1040
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR075503163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology