Individual
KATHRYN MARIE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
6375 W CHARLESTON BLVD, A 100, LAS VEGAS, NV 89146-1139
(702) 253-0818
Mailing address
803 WYOMING ST, BOULDER CITY, NV 89005-2707
(702) 374-5396
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN11893
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507628
—
NV
Enumeration date
07/03/2006
Last updated
07/08/2007
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