Healthcare Provider Details

I. General information

NPI: 1417130626
Provider Name (Legal Business Name): HEATHER M. OLIVAS APRN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2007
Last Update Date: 05/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2931 BERRY HILL DR STE 100
NASHVILLE TN
37204-3136
US

IV. Provider business mailing address

2931 BERRY HILL DR STE 100
NASHVILLE TN
37204-3136
US

V. Phone/Fax

Practice location:
  • Phone: 615-678-7028
  • Fax: 615-678-7085
Mailing address:
  • Phone: 615-614-5880
  • Fax: 615-614-5884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberAPN13054
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN13054
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: