Doctor Name: | DR. ELISE A OLSEN |
NPI Number: | 1598708042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 24475 |
Business Practice Address: | 40 Duke Medicine Cir Durham, NC - 277104000 |
Business Phone Number: | 9196685613 |
Business Fax Number: | 9196685629 |
Mailing Address: | Po Box 63362, CHARLOTTE |
State: | NC |
Postal Code: | 282633362 |
Phone Number: | 9196848111 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 24475 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |