Provider Demographics
NPI:1477424497
Name:OLIVERA TRUJILLO, MAIRELYS ELVIRA (APRN-FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MAIRELYS
Middle Name:ELVIRA
Last Name:OLIVERA TRUJILLO
Suffix:
Gender:F
Credentials:APRN-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4023 14TH AVE SE
Mailing Address - Street 2:4023 14TH AVE SE
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34117-9106
Mailing Address - Country:US
Mailing Address - Phone:239-465-5692
Mailing Address - Fax:
Practice Address - Street 1:4023 14TH AVE SE
Practice Address - Street 2:4023 14TH AVE SE
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34117-9106
Practice Address - Country:US
Practice Address - Phone:239-465-5692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF08250863363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner