Individual
MS. LARAE OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-PMHNP
Contact information
Practice address
7101 NEWPORT AVE, OMAHA, NE 68152-2164
(402) 572-2916
(402) 572-3258
Mailing address
7101 NEWPORT AVE, OMAHA, NE 68152-2164
(402) 572-2916
(402) 572-3258
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111749
NE
Other
Enumeration date
09/30/2014
Last updated
11/05/2015
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