Individual
ANGELA L OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1414 W BROADWAY ST, PRINCETON, IN 47670
(812) 385-5283
(812) 385-5274
Mailing address
PO BOX 955860, SAINT LOUIS, MO 63195-1510
(636) 498-5944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209016845
IL
363L00000X
Nurse Practitioner
Primary
71007971A
IN
Other
Enumeration date
04/19/2018
Last updated
10/21/2020
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