Doctor Name: | MS. SHIRLEY L OLSON |
NPI Number: | 1811148885 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 167672 |
Business Practice Address: | #5 Mineral Farms Lane Ouray, CO - 814271269 |
Business Phone Number: | 9703257291 |
Business Fax Number: | 9703257291 |
Mailing Address: | Po Box 1269, OURAY |
State: | CO |
Postal Code: | 814271269 |
Phone Number: | 9703257291 |
Fax Number: | 9703257291 |
NPI Enumeration Date: | 10/08/2008 |
NPI Last Update Date: | 10/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 167672 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |