# OLIVE HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124612817
- **Authorized official:** MS. YVETTE GUZMAN APRN (OWNER)
- **Authorized official phone:** (813) 389-9474

## Contact information

- **Practice address:** 4912 W TRAPNELL RD, PLANT CITY, FL 33566-0128
- **Practice address phone:** (813) 417-4767
- **Mailing address:** 4912 W TRAPNELL RD, PLANT CITY, FL 33566-0128
- **Mailing address phone:** (813) 417-4767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2021
- **Last updated:** 08/30/2023
