Provider Demographics
NPI:1780418566
Name:OLIVIER, DONYA RICHARDS (FNP-C)
Entity type:Individual
Prefix:
First Name:DONYA
Middle Name:RICHARDS
Last Name:OLIVIER
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 1:35 MILLS LNDG
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-2524
Mailing Address - Country:US
Mailing Address - Phone:678-491-1786
Mailing Address - Fax:
Practice Address - Street 1:35 MILLS LNDG
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-2524
Practice Address - Country:US
Practice Address - Phone:678-491-1786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN188143363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily