Individual
TATIANA CARLIN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 458-2682
(907) 458-2628
Mailing address
510 W TUDOR RD, STE 5, ANCHORAGE, AK 99503-6649
(907) 743-0050
(907) 743-0060
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
661
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020150
—
AK
Enumeration date
02/20/2006
Last updated
03/07/2023
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