Olivia Ann Walder, APRN | |
912 W Seminary Ave, Onarga, IL 60955-1401 | |
(815) 268-4840 | |
(815) 268-4845 |
Full Name | Olivia Ann Walder |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 912 W Seminary Ave, Onarga, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407543838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041454193 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209027194 (Illinois) | Primary |
Entity Name | Gibson Community Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
Entity Name | Smart Health And Wellness Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558029504 PECOS PAC ID: 6800280702 Enrollment ID: O20220217002668 |
Mailing Address | Practice Location Address |
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Olivia Ann Walder, APRN 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-4251 | Olivia Ann Walder, APRN 912 W Seminary Ave, Onarga, IL 60955-1401 Ph: (815) 268-4840 |
Beth Gomez, FNP BC PMHNP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 E Lincoln Ave, Onarga, IL 60955 Phone: 217-278-8669 | |
Mrs. Susan Kay Gray, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 N Chestnut, Onarga, IL 60955 Phone: 815-268-4840 Fax: 815-268-4845 |