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Individual
THEA OLSEN
Active
Individual
THEA OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
RN60464946
RI
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN54959
RI
Other
Enumeration date
05/25/2021
Last updated
02/02/2026
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