Individual
TIFFANY OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(801) 587-3194
Mailing address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9408923-3102
UT
363LP0200X
Pediatric Nurse Practitioner
Primary
1216062
TX
Other
Enumeration date
06/11/2024
Last updated
10/27/2025
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