Individual
CODY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP, RN
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(602) 246-5739
Mailing address
13362 W ROWEL RD, PEORIA, AZ 85383-5964
(623) 810-3589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
212125
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
312801
AZ
Other
Enumeration date
08/05/2024
Last updated
08/16/2024
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