# MS. LISA JANE OLSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134105364
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | 345768-3102 | UT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 345768-4405 | UT | Yes |

## Other

- **Enumeration date:** 12/20/2005
- **Last updated:** 12/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | U002 802665 | — | UT |
| 05 | — | U003 666 | — | UT |
| 05 | — | U006 107030993101 | — | UT |