Individual
SANDRA PAULA BAZAN-OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN128955
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
303932
AZ
Other
Enumeration date
09/25/2008
Last updated
06/11/2024
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