Provider Demographics
NPI:1992680243
Name:ROSS, OLYMPIA CHAGOURIS (MSN, ACM, WCCM, RN)
Entity type:Individual
Prefix:MRS
First Name:OLYMPIA
Middle Name:CHAGOURIS
Last Name:ROSS
Suffix:
Gender:F
Credentials:MSN, ACM, WCCM, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 W MC CABE ST
Mailing Address - Street 2:
Mailing Address - City:SELBYVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19975-9316
Mailing Address - Country:US
Mailing Address - Phone:410-215-8002
Mailing Address - Fax:
Practice Address - Street 1:32550 DOCS PL UNIT 2
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:DE
Practice Address - Zip Code:19967-6975
Practice Address - Country:US
Practice Address - Phone:302-539-4302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0073482163WC0400X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management