| Doctor Name: | NANCY NADINE OLSEN |
| NPI Number: | 1043297138 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN MSN FNP |
| License Number: | NP520A |
| Business Practice Address: | Shc 100 Rexburg, ID - 834602010 |
| Business Phone Number: | 2084961300 |
| Business Fax Number: | 2084961306 |
| Mailing Address: | 4543 E 300 N, RIGBY |
| State: | ID |
| Postal Code: | 834425514 |
| Phone Number: | 2085387270 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP520A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |