Provider Demographics
NPI:1801254859
Name:LIBERTY, OLENA (APRN, CRNA)
Entity type:Individual
Prefix:
First Name:OLENA
Middle Name:
Last Name:LIBERTY
Suffix:
Gender:F
Credentials:APRN, CRNA
Other - Prefix:
Other - First Name:OLENA
Other - Middle Name:
Other - Last Name:PYLYPENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35 MEDICAL CENTER PARKWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330
Mailing Address - Country:US
Mailing Address - Phone:207-622-1959
Mailing Address - Fax:
Practice Address - Street 1:35 MEDICAL CENTER PARKWAY KENNEBEC ANESTHESIA ASSOCIAT
Practice Address - Street 2:SUITE 201
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330
Practice Address - Country:US
Practice Address - Phone:207-622-1959
Practice Address - Fax:207-430-4007
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERNA163033367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered