Doctor Name: | KATHLEEN ANN OLSEN |
NPI Number: | 1881628196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 70557-030 |
Business Practice Address: | 707 Ash St Spooner, WI - 548011234 |
Business Phone Number: | 7156352151 |
Business Fax Number: | 7156358768 |
Mailing Address: | 707 Ash St, SPOONER |
State: | WI |
Postal Code: | 548011234 |
Phone Number: | 7156352151 |
Fax Number: | 7156358768 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 04/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 70557-030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |