Provider Demographics
NPI:1053286658
Name:OLENYN, PATRICIA EILEEN
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:EILEEN
Last Name:OLENYN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7605 N CALHOUN HWY
Mailing Address - Street 2:
Mailing Address - City:BIG SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:26137-7511
Mailing Address - Country:US
Mailing Address - Phone:571-289-8153
Mailing Address - Fax:
Practice Address - Street 1:7605 N CALHOUN HWY
Practice Address - Street 2:
Practice Address - City:BIG SPRINGS
Practice Address - State:WV
Practice Address - Zip Code:26137-7511
Practice Address - Country:US
Practice Address - Phone:571-289-8153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant