Marietta Pana Olaivar-Lomboy in Perry - Adult Health
Marietta Pana Olaivar-Lomboy - NPI 1699786327
Marietta Pana Olaivar-Lomboy is a Adult Health in Perry, Georgia. Marietta Pana Olaivar-Lomboy practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Marietta Pana Olaivar-Lomboy is 1699786327. The last update date is 2015-05-11.
Marietta Pana Olaivar-Lomboy's current location address is 1018 Keith Dr, Perry, Georgia. You can contact this provider via phone number 4789877444 and fax number 4789877747. The mailing address for Marietta Pana Olaivar-Lomboy is 1018 Keith Dr, Perry, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marietta Pana Olaivar-Lomboy |
|---|---|
| Address | 1018 Keith Dr, Perry, Georgia |
| Phone Number | 4789877444 |
| Fax Number | 4789877747 |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1699786327 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2015-05-11 |
Provider Mailing Address Detail
| Address | 1018 Keith Dr |
|---|---|
| City | Perry |
| State | Georgia (GA) |
| Post Code | 310692947 |
| Phone Number | 4789877444 |
| Fax Number | 4789877747 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 118138 |
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Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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What is the unique 10-digit identifier code issued to Marietta Pana Olaivar-Lomboy by the Centers for Medicare & Medicaid Services?
The Marietta Pana Olaivar-Lomboy has been assigned the NPI (National Provider Identifier) 1699786327 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Marietta Pana Olaivar-Lomboy's facilities are situated?
The facilities of Marietta Pana Olaivar-Lomboy are physically located at the following address: 1018 Keith Dr, Perry, GA, 310692947.
What is the Marietta Pana Olaivar-Lomboy's specialty and taxonomy code?
The Marietta Pana Olaivar-Lomboy's specialty is Adult Health, and the corresponding taxonomy code is 363La2200X.
On what date did the Marietta Pana Olaivar-Lomboy receive its 1699786327 assignment from the Centers for Medicare & Medicaid Services?
The Marietta Pana Olaivar-Lomboy was assigned its 1699786327 by the Centers for Medicare & Medicaid Services on 2006-08-10.
As of what date were the details related to Marietta Pana Olaivar-Lomboy most recently updated or revised?
The information pertaining to Marietta Pana Olaivar-Lomboy, including its address, specialty, and other relevant details, was last updated or revised on 2015-05-11.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN