Individual
AMY OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
379 N 500 W STE 1A, VERNAL, UT 84078-1956
(435) 789-1165
(435) 789-1169
Mailing address
379 N 500 W STE 1A, VERNAL, UT 84078-1956
(435) 789-1165
(435) 789-1169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2648004408
UT
Other
Enumeration date
06/08/2009
Last updated
10/04/2012
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