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Individual

STEPHANIE J OLSCAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
980 W. IRONWOOD, SUITE 101, COEUR D'ALENE, ID 83814
(208) 765-1455
(208) 667-8655
Mailing address
980 W. IRONWOOD, SUITE 101, COEUR D'ALENE, ID 83814
(208) 765-1455
(208) 667-8655

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
NP571A
ID
363L00000X
Nurse Practitioner
N-27717
ID
367A00000X
Advanced Practice Midwife
CNM50A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806370600
ID
Enumeration date
06/28/2006
Last updated
05/09/2014
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