Most Relevant Information
Provider Data
| NPI Number: | 1003591587 |
| Provider Name: | LIZBETH OLIVERO FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2023 |
| Last Updated: | 07/10/2023 |
Provider Practice Location
649 MORRIS AVE
SPRINGFIELD
NJ
070811526
Practice Location Phone/Fax
| Phone: | 9738881085 |
| Fax: |
Provider Mailing Location
454 RIVER RD APT E
NUTLEY
NJ
071103640
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |