Individual
LISA KIRSTEN OLSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
401 CASTLE CREEK RD, ASPEN, CO 81611-1159
(970) 925-1120
Mailing address
759 LINCOLN AVE, CARBONDALE, CO 81623-1719
(970) 274-0202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79615
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78385211
—
CO
Enumeration date
06/01/2005
Last updated
07/08/2007
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