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Individual

MS. COLLEEN M OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-2225
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-2225

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0505702303
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009521
VT
05
30342379
NH
Enumeration date
08/13/2006
Last updated
12/02/2011
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