Doctor Name: | LISA KIRSTEN OLSEN |
NPI Number: | 1144222357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 79615 |
Business Practice Address: | 401 Castle Creek Rd Aspen, CO - 816111159 |
Business Phone Number: | 9709251120 |
Business Fax Number: | |
Mailing Address: | 759 Lincoln Ave, CARBONDALE |
State: | CO |
Postal Code: | 816231719 |
Phone Number: | 9702740202 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 79615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |