MEDICARE: OLIVIA MARIE CHOLEWA 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	163W00000X	Registered Nurse	236678	TN
2	363LF0000X	Family Nurse Practitioner	4014107	KY
3	363LF0000X	Family Nurse Practitioner	34994	TN

General Provider Information

NPI Number	:	1669120333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA MARIE CHOLEWA FNP-BC

Provider Business Mailing Address
First Line	:	225 S 11TH ST STE 101A
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-3131
Country	:	US
Telephone Number	:	615-469-1065
Fax Number	:	866-873-8544

Provider Business Practice Location Address
First Line	:	225 S 11TH ST STE 101A
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-3131
Country	:	US
Telephone Number	:	248-707-4372
Fax Number	:

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

Provider Enumeration Date	:	03/12/2022
Last Update Date	:	04/24/2024

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