Provider Demographics
NPI:1790369627
Name:MAGALHAES, OLIVIA MARGARET (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:MARGARET
Last Name:MAGALHAES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 ASHBURTON AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-3923
Mailing Address - Country:US
Mailing Address - Phone:774-571-2785
Mailing Address - Fax:
Practice Address - Street 1:89 ASHBURTON AVE
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-3923
Practice Address - Country:US
Practice Address - Phone:774-571-2785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-06
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAF03210012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily