Individual
JARVIS OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2481 PROFESSIONAL CT, LAS VEGAS, NV 89128-0825
(702) 382-1599
(702) 240-4962
Mailing address
2481 PROFESSIONAL CT, LAS VEGAS, NV 89128-0825
(702) 382-1599
(702) 240-4962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN001679
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194149146
—
NV
Enumeration date
02/11/2014
Last updated
09/11/2014
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