Individual
MRS. GWENNA CARIE OLSON
Active
Individual
MRS. GWENNA CARIE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, RN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
10608290-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
NUR-APRN-LIC-173434
MT
Other
Enumeration date
10/14/2020
Last updated
05/26/2022
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