Provider Demographics
NPI:1790088821
Name:PARKER-BATES, OLIVIA (RN)
Entity type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:
Last Name:PARKER-BATES
Suffix:
Gender:
Credentials:RN
Other - Prefix:MRS
Other - First Name:OLIVIA
Other - Middle Name:
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1120 HORACE ST STE G6
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-4737
Mailing Address - Country:US
Mailing Address - Phone:567-694-8825
Mailing Address - Fax:567-301-8060
Practice Address - Street 1:1120 HORACE ST STE G6
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-4737
Practice Address - Country:US
Practice Address - Phone:567-694-8825
Practice Address - Fax:567-301-8060
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-11
Last Update Date:2025-04-21
Deactivation Date:2016-08-16
Deactivation Code:
Reactivation Date:2025-04-15
Provider Licenses
StateLicense IDTaxonomies
OHRN.529640163W00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No163W00000XNursing Service ProvidersRegistered Nurse