Provider Demographics
NPI:1548433980
Name:OLENICK, PATRICIA LYNN (RNC, CNM, PHD)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LYNN
Last Name:OLENICK
Suffix:
Gender:F
Credentials:RNC, CNM, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2481 MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-1883
Mailing Address - Country:US
Mailing Address - Phone:361-882-6080
Mailing Address - Fax:361-882-6089
Practice Address - Street 1:2481 MORGAN AVE
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-1883
Practice Address - Country:US
Practice Address - Phone:361-882-6080
Practice Address - Fax:361-882-6089
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246250367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife