| Doctor Name: | TATIANA CARLIN OLSON |
| NPI Number: | 1033184536 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 661 |
| Business Practice Address: | 1001 Noble St Fairbanks, AK - 997014922 |
| Business Phone Number: | 9074582682 |
| Business Fax Number: | 9074582628 |
| Mailing Address: | 1001 Noble St, FAIRBANKS |
| State: | AK |
| Postal Code: | 997014922 |
| Phone Number: | 9074593500 |
| Fax Number: | 9074582628 |
| NPI Enumeration Date: | 02/20/2006 |
| NPI Last Update Date: | 08/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |