Individual
JOHANNA OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1733 ROCKEFELLER RD, WICKLIFFE, OH 44092-1937
(216) 835-9513
Mailing address
1733 ROCKEFELLER RD, WICKLIFFE, OH 44092-1937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
OH395531
OH
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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