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NPI Code Detail

MEDICARE: VICTORIA OLIVA APRN

MEDICARE: VICTORIA OLIVA APRN
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 Practitioner11007791FL
2363LF0000XFamily Nurse PractitionerC-APN.0103824-C-NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801406194
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA OLIVA APRN
Provider Business Mailing Address
First Line : 18249 CLEAR LAKE DR
Second Line :
City : LUTZ
State : FL
Zip : 33548-6436
Country : US
Telephone Number : 813-597-1681
Fax Number :
Provider Business Practice Location Address
First Line : 3330 S RIO GRANDE AVE
Second Line :
City : MONTROSE
State : CO
Zip : 81401-4847
Country : US
Telephone Number : 970-497-5979
Fax Number : 970-497-5893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2020
Last Update Date : 03/11/2025

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Directions to “ VICTORIA OLIVA APRN” Practice Location

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