Mcnally, Olivia

Mcnally, Olivia is an individual health care provider with primary practice located at 9046 Lucerne Ave , Culver City CA 90232-2515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcnally, Olivia can be contacted via phone (239) 963-7968.

Contact Information

Primary practice address
9046 Lucerne Ave Culver City CA 90232-2515
Phone: (239) 963-7968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1902308562
LBN Legal business name Mcnally, Olivia
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2018
Last updated May 16th, 2024 - about 6 months 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 1902308562 NPPES
Florida MEDICAID 021188400

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