Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Anne Oliva, AGACNP-C

Individual provider Acute Care Nurse Practitioner · NPI 1770362592

Nicole Anne Oliva, AGACNP-C is a Nurse Practitioner in Bay Shore, New York. Qualified in 2023, 3 years ago. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408
Phone: (631) 968-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 432700 (NY)

Record details

NPI number1770362592
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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