Individual
MELISSA GLENN OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5171 S COTTONWOOD ST STE 210, MURRAY, UT 84107-5718
(801) 507-3380
Mailing address
610 OAKLAND AVE, AUSTIN, TX 78703-5136
(435) 640-6201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
74993
ID
363LF0000X
Family Nurse Practitioner
Primary
F02220852
UT
Other
Enumeration date
06/01/2022
Last updated
07/20/2023
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