Individual
BRANDICE OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 LAKE OTIS PKWY, SUITE 222, ANCHORAGE, AK 99508-5229
(907) 550-6100
(907) 550-6268
Mailing address
14700 28TH AVE N, SUITE 20, PLYMOUTH, MN 55447-4835
(763) 559-3779
(763) 450-3986
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
432
AK
390200000X
Student in an Organized Health Care Education/Training Program
201140700RN
OR
Other
Enumeration date
01/05/2012
Last updated
02/16/2014
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