Healthcare Provider Details

I. General information

NPI: 1982536041
Provider Name (Legal Business Name): OLIVIA JOSEPH FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5025 ORCHID BND
CHARLOTTESVILLE VA
22911-5684
US

IV. Provider business mailing address

5025 ORCHID BND
CHARLOTTESVILLE VA
22911-5684
US

V. Phone/Fax

Practice location:
  • Phone: 571-268-4834
  • Fax:
Mailing address:
  • Phone: 571-268-4834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0001311957
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: