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NPI Code Detail

MEDICARE: CAROLINA OLIVEIRA FORTES

MEDICARE: CAROLINA OLIVEIRA FORTES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner26NJ15484500NJ

General Provider Information

NPI Number : 1235094830
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA OLIVEIRA FORTES
Provider Business Mailing Address
First Line : 40-44 ROME ST APT 4
Second Line :
City : NEWARK
State : NJ
Zip : 07105-3350
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 40-44 ROME ST APT 4
Second Line :
City : NEWARK
State : NJ
Zip : 07105-3350
Country : US
Telephone Number : 973-449-1504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ CAROLINA OLIVEIRA FORTES ” Practice Location

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