MEDICARE: OLGA NIEVES FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	26NJ00709300	NJ

General Provider Information

NPI Number	:	1518406966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA NIEVES FNP-BC

Provider Business Mailing Address
First Line	:	15 W 27TH ST FL 11
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-7711
Country	:	US
Telephone Number	:	888-344-5776
Fax Number	:	646-665-3604

Provider Business Practice Location Address
First Line	:	800 BUNN DR STE 201
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-1968
Country	:	US
Telephone Number	:	888-344-5776
Fax Number	:	646-665-3604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2017
Last Update Date	:	03/02/2026

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