MS. ROSEMARY JUDITH OLIVE


Address: 397 Bryce Canyon Rd, San Rafael, CA 94903-2226
Phone: 4154997682

MS. ROSEMARY JUDITH OLIVE (NPI# 1164684924) 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) 1164684924
Entity Type Individual
Full Name MS. ROSEMARY JUDITH OLIVE
Credential RN, MSN, CNS
Practice Address 397 Bryce Canyon Rd
San Rafael
CA 94903-2226
Mailing Address Po Box 6695
San Rafael
CA 94903-0695
Practice Telephone 4154997682
Mailing Telephone 4154997682
Enumeration Date 2008-07-01
Last Update Date 2012-11-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN 338797 CA Nursing Service Providers
N 163WC1600X Registered Nurse
Specialization: Continuing Education/Staff Development
CNS 1972 CA Nursing Service Providers
N 364SC1501X Clinical Nurse Specialist
Specialization: Community Health/Public Health
1972 CA Physician Assistants & Advanced Practice Nursing Providers
Y 364SP1700X Clinical Nurse Specialist
Specialization: Perinatal
1972 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 397 BRYCE CANYON RD
City SAN RAFAEL
State CA
Zip Code 94903-2226

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Taxonomy Information

Taxonomy Code 364SP1700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Perinatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437426053 Shannon Marie Goulmassian Clinical Nurse Specialist 1800 Western Ave Ste 406, San Bernardino, CA 92411-1355 2011-11-28
1154771343 Carolyn Benson Leonard Clinical Nurse Specialist 1150 Veterans Blvd, Redwood City, CA 94063-2037 2016-06-17
1609022425 E.f.c.inc. Clinical Nurse Specialist 14311 Ramona Blvd, Baldwin Park, CA 91706-3242 2008-08-12
1285828525 Maryam Soroudi Clinical Nurse Specialist 13750 Victory Blvd, Van Nuys, CA 91401-2324 2007-08-29
1407987571 Deborah Ann Reitter Clinical Nurse Specialist 2025 Morse Ave, Sacramento, CA 95825-2115 2007-03-08
1871643403 Connie Marie Lopez Clinical Nurse Specialist 280 W Macarthur Blvd, Oakland, CA 94611-5642 2007-01-12
1811054596 Maryann Marie Baird Clinical Nurse Specialist 7300 N Fresno St, Fresno, CA 93720-2941 2007-01-02

Competitor

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City SAN RAFAEL
Zip Code 94903

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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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