KERRY L OLIVER


Address: 12010 S Warner Elliot Loop Ste 1, Phoenix, AZ 85044-2731
Phone: 4809612366

KERRY L OLIVER (NPI# 1306341748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306341748
Entity Type Individual
Full Name KERRY L OLIVER
Credential FNP-C
Practice Address 12010 S Warner Elliot Loop Ste 1
Phoenix
AZ 85044-2731
Mailing Address 3899 S Napa Ln
Gilbert
AZ 85297-3538
Practice Telephone 4809612366
Mailing Telephone 4809079985
Enumeration Date 2018-03-28
Last Update Date 2018-03-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AP11080 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Providers KERRY OLIVER

NPI Name Taxonomy Address Enumeration
1356365373 Kerry Alan Oliver Internal Medicine 3108 Saratoga St, Bakersfield, CA 93306-4338 2006-07-26
1982747127 Kerry Oliver Occupational Therapist 14635 Pennock Ave, Suite 300, Apple Valley, MN 55124-6430 2007-02-15

Office Location

Street Address 12010 S WARNER ELLIOT LOOP STE 1
City PHOENIX
State AZ
Zip Code 85044-2731

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NPI Name Taxonomy Address Enumeration
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1134777634 Elite Therapy of Az Occupational Therapist 15245 S 48th Street, Phoenix, AZ 85044 2019-08-28
1487217584 Vitae Felix Psychologist 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 2019-04-16
1578082392 Karena Janiece Herron Nurse Practitioner 13625 S 48th St Apt 2100, Phoenix, AZ 85044 2017-09-13
1053847319 Amanda Girardi Dentist 4726 E Verbena Dr, Phoenix, AZ 85044 2017-05-05
1518402593 Janet Swift Counselor 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 2016-12-29
1588074876 Suzanne Morris Nurse Practitioner 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 2014-05-07
1891117974 Dr. Cameron Khavari Pllc Chiropractor 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 2014-01-09
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1538709415 Bertha Nambuye Mbatau Nurse Practitioner 2332 W Calle Marita, Phoenix, AZ 85085-7064 2020-01-08
1790346443 Elena Nickolaevna Klimova Nurse Practitioner 2218 E Wahalla Ln, Phoenix, AZ 85024-1231 2019-06-24
1891294583 Helena Taboy Nurse Practitioner 34975 N North Valley Pkwy Ste 138, Phoenix, AZ 85086-4030 2018-02-07
1528431152 Judith Harmon Nurse Practitioner 12413 N 41st Pl, Phoenix, AZ 85032-7439 2015-11-04
1669865408 Sj Medical Group Nurse Practitioner 4622 N 35th Ave, Phoenix, AZ 85017-3403 2015-03-17
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Competitor

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City PHOENIX
Zip Code 85044

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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