Individual
BRIANE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN
Contact information
Practice address
1255 GOLFVIEW AVE, BARTOW, FL 33830-6736
(863) 519-0575
(863) 582-9251
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
(863) 582-9251
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11003614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104660000
—
FL
01
—
L0838
MEDICARE
FL
Enumeration date
11/19/2013
Last updated
04/08/2020
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