OLIVER ELLIOTT OLSON

LOUISVILLE, KY
NPI1255696597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3007504)
Additional Taxonomies163W00000X Registered Nurse
(Licence: KY  1117485)
363LF0000X Nurse Practitioner, Family
(Licence: CA  95002557)
163W00000X Registered Nurse
(Licence: CA  95063617)
Enumeration Date2012-07-12
Last Update Date2016-04-08
Business Address
-- OLIVER ELLIOTT OLSON APRN-NP
3707 CHAMBERLAIN LN STE 101
LOUISVILLE, KY 40241-2091
Phone number: 502-472-5657
Mailing Address
-- OLIVER ELLIOTT OLSON APRN-NP
3707 CHAMBERLAIN LN STE 101
LOUISVILLE, KY 40241-2091
Phone number: 502-472-5657