National Provider Identifier
Olivia Nicole Rutkowski, PA
Olivia Nicole Rutkowski, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 697-2341.
Profile Overview
- NPI
- 1104402163
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 21, 2021
- Last Updated
- March 23, 2021
Practice Location
- 10 Forestglen Cir
- Williamsville, NY 14221-1359
Phone: (716) 697-2341
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1104402163
- Entity Type
- Individual
- Last Name
- Rutkowski
- First Name
- Olivia
- Middle Name
- Nicole
- Name Prefix
- MS.
- Credential
- PA
- Provider Other Last Name
- Rutkowski
- Provider Other First Name
- Olivia
- Provider Other Middle Name
- Nicole
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 10 Forestglen Cir
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-1359
- Mailing Country
- US
- Mailing Phone
- (716) 697-2341
- Practice Street Address
- 10 Forestglen Cir
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-1359
- Practice Country
- US
- Practice Phone
- (716) 697-2341
- Enumeration Date
- March 21, 2021
- Last Updated
- March 23, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 23, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)