Healthcare Provider Details

I. General information

NPI: 1770186025
Provider Name (Legal Business Name): CARLA OLIVEIRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARLA SILVARES OLIVEIRA APRN

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 FEDERAL RD
BROOKFIELD CT
06804-2418
US

IV. Provider business mailing address

304 FEDERAL RD
BROOKFIELD CT
06804-2418
US

V. Phone/Fax

Practice location:
  • Phone: 475-290-9923
  • Fax: 475-268-8320
Mailing address:
  • Phone: 475-290-9923
  • Fax: 475-268-8320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number99754
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10184
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: