Laidley, Olivia

Laidley, Olivia is an individual health care provider with primary practice located at 8595 Pelham Rd , Greenville SC 29615-5759. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Laidley, Olivia can be contacted via phone (864) 316-8984.

Contact Information

Primary practice address
8595 Pelham Rd Greenville SC 29615-5759
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 729679 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 353419 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5428634 South Carolina

Profile Details

NPI number 1780114736
LBN Legal business name Laidley, Olivia
Credentials APRN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2017
Last updated Jul 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780114736 NPPES
New York MEDICAID 01420795

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