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Individual

TIFFANY A OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4081
(402) 559-7372
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4081
(402) 559-7372

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101114
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101114
NE STATE LICENSE
Enumeration date
04/08/2010
Last updated
06/27/2011
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