Provider Demographics
NPI:1134882558
Name:CHOE, OLIVIA LOVELL (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:LOVELL
Last Name:CHOE
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 SLOAN RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4612
Mailing Address - Country:US
Mailing Address - Phone:615-308-3194
Mailing Address - Fax:
Practice Address - Street 1:2410 PATTERSON ST STE 500
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-6521
Practice Address - Country:US
Practice Address - Phone:615-308-3194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30427363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner