| Provider / Organization | NPI | Date Certified |
|---|---|---|
| OLIVIA A COOLEY | 1952023996 | 2022-09-18 |
Olivia A Cooley is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952023996. Registration indicates Olivia A Cooley is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Olivia A Cooley FNP-C |
| Practice Office Address | 2200 169TH ST HAMMOND, IN US |
| Practice Office Telephone | 2199892400 |
| Mailing Address | 340 W 900 N UNIONDALE, IN 467919723 US |
| Business Telephone | 2602270871 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | PENDING
IN |