Healthcare Provider Details

I. General information

NPI: 1912339466
Provider Name (Legal Business Name): BRITTANY R. OLIVO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY R. CALARESE RN

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 BRYAN WOODS ROAD
SAVANNAH GA
31410
US

IV. Provider business mailing address

836 E. 65TH STREET SUITE 22
SAVANNAH GA
31405
US

V. Phone/Fax

Practice location:
  • Phone: 912-898-1122
  • Fax: 912-898-9944
Mailing address:
  • Phone: 912-819-7878
  • Fax: 912-819-3320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN304722
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: