Doctor Name: | DACIA RANEE OLSON |
NPI Number: | 1255730586 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | RN206693 |
Business Practice Address: | 462 E G Miles Pkwy Liberty Regional Medical Center Hinesville, GA - 313134000 |
Business Phone Number: | 9123699412 |
Business Fax Number: | |
Mailing Address: | 181 Mary Ct Ne, LUDOWICI |
State: | GA |
Postal Code: | 313165659 |
Phone Number: | 9122711765 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2014 |
NPI Last Update Date: | 09/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN206693 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |