Provider Demographics
NPI:1982386306
Name:OLIVA GUEDES, ANIA
Entity Type:Individual
Prefix:MS
First Name:ANIA
Middle Name:
Last Name:OLIVA GUEDES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 PATRIOTS LNDG APT B
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3935
Mailing Address - Country:US
Mailing Address - Phone:585-500-3758
Mailing Address - Fax:
Practice Address - Street 1:8 PATRIOTS LNDG APT B
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-3935
Practice Address - Country:US
Practice Address - Phone:585-500-3758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY893978163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse