Provider Demographics
NPI:1881473882
Name:OLIVIEIRA, DULCINE MILDRED (RN)
Entity type:Individual
Prefix:MRS
First Name:DULCINE
Middle Name:MILDRED
Last Name:OLIVIEIRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 EASTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-3511
Mailing Address - Country:US
Mailing Address - Phone:516-852-1396
Mailing Address - Fax:
Practice Address - Street 1:10 EASTLAND AVE
Practice Address - Street 2:
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078-3511
Practice Address - Country:US
Practice Address - Phone:516-852-1396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY627-126-01163WC0400X, 163WC1500X, 163WG0000X, 163WH0200X, 163WM0705X, 163WS0200X, 163WX0106X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WS0200XNursing Service ProvidersRegistered NurseSchool
No163WX0106XNursing Service ProvidersRegistered NurseOccupational Health