Provider Demographics
NPI:1619676996
Name:OLAYA, FREDY JR (FNP-C)
Entity type:Individual
Prefix:MR
First Name:FREDY
Middle Name:
Last Name:OLAYA
Suffix:JR
Gender:M
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 1:2701 E INSIGHT WAY
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-1930
Mailing Address - Country:US
Mailing Address - Phone:623-409-6100
Mailing Address - Fax:
Practice Address - Street 1:2701 E INSIGHT WAY
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-1930
Practice Address - Country:US
Practice Address - Phone:480-409-6100
Practice Address - Fax:623-409-6100
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ288325363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily