Youngsook Theresa Olsson NP

NPI 1083773634 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1083773634
Gender Female
Enumeration Date 12/08/2006
Last Updated 03/31/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1701 N SENATE BLVD
RM AG 001
INDIANAPOLIS IN, 46202-1239, US
Phone (317) 962-3886
Fax (317) 962-8652
Business Location
950 N MERIDIAN ST
STE 500 PROVIDER ENROLLMENT
INDIANAPOLIS IN, 46204-3908, US
Phone (317) 962-4942
Fax (317) 962-4950
Toxanomy
Taxonomy Code 363LA2200X
License State Indiana
License Number 71008140
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According to our database, Youngsook Theresa Olsson NP NPI is 1083773634, taxonomy code is 363LA2200X and license number is 71008140, license state is located at Indiana. Youngsook Theresa Olsson NP physically located at 1701 N Senate Blvd, Indianapolis IN, 46202-1239. NPI Number Youngsook Theresa Olsson NP has the Individual type.

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1083773634 NPI number is provided on an as is basis without warranty of any kind. 1083773634 is maintained by the National Plan & Provider Enumeration System. The contents of Youngsook Theresa Olsson NP are for informational purposes only.