| NPI | 1841407582 |
|---|---|
| Former Name | CYNTHIA J OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 218564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 835543) |
| 261QC1500X Clinic/Center, Community Health (Licence: CA 14694) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 218564) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 14694) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2022-02-03 |