Organization · Type 2 NPI
Olive Tree Place Inc.
Psychiatric/Mental Health Clinical Nurse Specialist · Lafayette, IN
NPI number
1972861367
Active
Practice location
2218 Main St, Suite E
Lafayette, IN 47904-3614
Mailing address
1411 W 500 S
Lafayette, IN 47909-8146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | 28093092A (IN) |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
About NPI 1972861367
Olive Tree Place Inc.'s National Provider Identifier is 1972861367, issued on Apr 24, 2012. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Lafayette, IN. The record was last updated on Apr 24, 2012.