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Individual

ELLEN OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
600 JULIAN LN STE 640, ARDEN, NC 28704-7812
(828) 552-3504
Mailing address
119 KAKAHIAKA ST, KAILUA, HI 96734-3474
(503) 313-0142

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1653
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5010541
NC

Other

Enumeration date
12/11/2013
Last updated
11/27/2023
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