National Provider Identifier
Susan Sheldon Olive, PA
Susan Sheldon Olive, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Houghton, NY and a listed phone number of (716) 375-7500.
Profile Overview
- NPI
- 1487291464
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- December 09, 2019
- Last Updated
- September 10, 2025
Practice Location
- 9864 Luckey Dr
- Houghton, NY 14744-8706
Phone: (716) 375-7500
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1487291464
- Entity Type
- Individual
- Last Name
- Olive
- First Name
- Susan
- Middle Name
- Sheldon
- Name Prefix
- MS.
- Credential
- PA
- Mailing Street Address
- 9864 Luckey Dr
- Mailing City
- Houghton
- Mailing State
- NY
- Mailing ZIP Code
- 14744-8706
- Mailing Country
- US
- Mailing Phone
- (716) 375-7500
- Practice Street Address
- 9864 Luckey Dr
- Practice City
- Houghton
- Practice State
- NY
- Practice ZIP Code
- 14744-8706
- Practice Country
- US
- Practice Phone
- (716) 375-7500
- Enumeration Date
- December 09, 2019
- Last Updated
- September 10, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 10, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)