1952043523 NPI number — DR. ELIZABETH OLSON FERREIRA MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952043523 NPI number — DR. ELIZABETH OLSON FERREIRA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FERREIRA
Provider First Name:
ELIZABETH
Provider Middle Name:
OLSON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952043523
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
SAINT BONIFACE HOSPITAL DEPT OF PATHOLOGY
Provider Second Line Business Mailing Address:
409 TACHE AVE
Provider Business Mailing Address City Name:
WINNIPEG
Provider Business Mailing Address State Name:
MANITOBA
Provider Business Mailing Address Postal Code:
R2H2A6
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SAINT BONIFACE HOSPITAL DEPT OF PATHOLOGY
Provider Second Line Business Practice Location Address:
409 TACHE AVE
Provider Business Practice Location Address City Name:
WINNIPEG
Provider Business Practice Location Address State Name:
MANITOBA
Provider Business Practice Location Address Postal Code:
R2H2A6
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
204-237-2490
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com