Olive Alfred
Individual provider Active NPI Driver · Virginia BCH, VA
NPI 1306362959 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1306362959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 1701 Glassy Lake Dr
Virginia BCH, VA 23453-7027 - Phone
- (757) 281-8383
- NPI assigned
- Aug 16, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
1701 Glassy Lake Dr
Virginia BCH, VA 23453-7027
Mailing address
1701 Glassy Lake Dr
Virginia BCH, VA 23453-7027
Phone (757) 281-8383
Other providers in Virginia BCH, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.