Provider Demographics
NPI:1124792098
Name:OLIVEIRA, JULIANA FREIRE (APRN)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:FREIRE
Last Name:OLIVEIRA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11708 W 152ND ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-7235
Mailing Address - Country:US
Mailing Address - Phone:865-679-1650
Mailing Address - Fax:
Practice Address - Street 1:10600 QUIVIRA RD STE 110
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2311
Practice Address - Country:US
Practice Address - Phone:913-541-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-80418-072363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily