Wellformed AI

NPI 1184473381 · live from the CMS NPI Registry

Olivia Cathleen Anderson, PA-C

Physician Assistant, Surgical in Reno, NV. National Provider Identifier 1184473381, active.

NPI record

NPI1184473381 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant, Surgical 363AS0400X
Practice location10791 Double R Blvd, Reno, NV 89521
Practice phone775-323-6100
EnumeratedMay 18, 2024
Last updatedMay 18, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant363A00000X—
Physician Assistant, Surgical primary363AS0400X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.