Individual provider · Type 1 NPI
Marietta Pana Olaivar-Lomboy, NP
Adult Health Nurse Practitioner · Perry, GA
NPI number
1699786327
Active
Practice location
1018 Keith Drive, Suite A
Perry, GA 31069-2948
Fax (478) 987-7747
Mailing address
1018 Keith Dr, Suite A
Perry, GA 31069-2947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 118138 (GA) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Perry
About NPI 1699786327
Marietta Pana Olaivar-Lomboy, NP's National Provider Identifier is 1699786327, issued on Aug 10, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Perry, GA. The record was last updated on May 11, 2015.