Provider Demographics
NPI:1770078073
Name:OLIVER, MARGARET B (APRN)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:B
Last Name:OLIVER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4038 N REMINGTON DR STE 4
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-6314
Mailing Address - Country:US
Mailing Address - Phone:479-444-6522
Mailing Address - Fax:479-444-9426
Practice Address - Street 1:4038 N REMINGTON DR STE 4
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-6314
Practice Address - Country:US
Practice Address - Phone:479-444-6522
Practice Address - Fax:479-444-9426
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005715363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily