Provider Demographics
NPI:1609698109
Name:ANSTEY, OLIVIA (NP)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:ANSTEY
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-291-8920
Mailing Address - Fax:856-291-8922
Practice Address - Street 1:1600 HADDON AVENUE, 1ST FLOOR, SUITE A
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103
Practice Address - Country:US
Practice Address - Phone:856-291-8920
Practice Address - Fax:856-291-8922
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2025-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15189800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily