Doctor Name: | LAUREL JEAN OLSLUND |
NPI Number: | 1023130622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 729 |
Business Practice Address: | 2450 Ashby Ave Berkeley, CA - 947052067 |
Business Phone Number: | 5102043991 |
Business Fax Number: | 5108410435 |
Mailing Address: | 3017 Telegraph Ave, Suite 102 BERKELEY |
State: | CA |
Postal Code: | 947052049 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 12/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | 729 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |