Doctor Name: | MS. KAREN JANE OLSON |
NPI Number: | 1215154232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 2250634405 |
Business Practice Address: | 13400 S. 5746 W #200 Herriman, UT - 84096 |
Business Phone Number: | 8019877500 |
Business Fax Number: | 8019877539 |
Mailing Address: | 13400 S. 5746 W. #200, HERRIMAN |
State: | UT |
Postal Code: | 84096 |
Phone Number: | 8019877500 |
Fax Number: | 8019877539 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 11/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2250634405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |