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Individual

NANCY ANN OLSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 229-6067
(708) 229-6065
Mailing address
11413 FOXWOODS CT, OAK LAWN, IL 60453-7115
(708) 229-6067
(708) 229-6065

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
209003255
IL
163WX1500X
Ostomy Care Registered Nurse
209003255
IL
364S00000X
Clinical Nurse Specialist
Primary
209003255
IL

Other

Enumeration date
06/21/2007
Last updated
05/01/2014
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